Individual provider Active NPI

Christie Paula Pickett, LMHC, CAP, CCTP

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1356647481
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11676 Issued in FL
Practice address
8905 Regents Park Dr Ste 230
Tampa, FL 33647-3081
Phone
(813) 586-0870
Fax
(813) 501-8625
NPI assigned
Feb 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH11676 FL
Mental Health Counselor 101YM0800X MH11676 FL Primary

Addresses

Primary practice location

8905 Regents Park Dr Ste 230
Tampa, FL 33647-3081

Mailing address

8905 Regents Park Dr Ste 230
Tampa, FL 33647-3081
Phone (813) 586-0870

Other identifiers 2

IdentifierTypeStateIssuer
MH11676OtherFLLICENSED MENTAL HEALTH COUNSELOR
4873OtherFLCAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH11676FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1356647481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 REGENTS PARK DR STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473081",
            "telephone_number": "813-586-0870",
            "fax_number": "813-501-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 REGENTS PARK DR STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473081",
            "telephone_number": "813-586-0870",
            "fax_number": "813-501-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "CHRISTIE",
        "middle_name": "PAULA",
        "credential": "LMHC, CAP, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH11676",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH11676",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "4873",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.