Charla Ann Poore-Conroy, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6991 Issued in FL

Practice address

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745

Phone

(813) 972-2000

NPI assigned

Jan 29, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Charla Ann Poore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1356589352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 GOLDEN SQUIRREL WAY",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845555",
            "telephone_number": "813-654-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE-CONROY",
        "first_name": "CHARLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6991",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MH6991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLA",
            "last_name": "POORE",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Pontaoe
• Aiyannah Yasmiah Pontikos
• Christine Poole
• Nikki Poole
• Sabrina Pooran
• Pop Counseling LLC
• Jesal V Popat, MD
• Paiyal Popat, DMD, MS
• Cecille Rose Pope, MD
• Jonathan D Pope, AGPCNP-C, PMHNP-BC

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.