Individual provider Active NPI

Aimee Leigh Beardslee, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1376989590
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13919 Issued in FL
Practice address
4554 Central Ave Ste E2
St Petersburg, FL 33711-1045
Phone
(727) 314-1864
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH13919 FL
Mental Health Counselor 101YM0800X MH13919 FL Primary

Addresses

Primary practice location

4554 Central Ave Ste E2
St Petersburg, FL 33711-1045

Mailing address

403 84TH Ave
St Pete Beach, FL 33706-1509
Phone (727) 314-1864

Other practice location 1

403 84th Ave
St Pete Beach, FL 33706-1509
Phone (727) 314-1864

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
MH13919FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Counseling Mental Health Current Accepting new patients

Locations

4554 Central Ave
Ste E2
St Petersburg, FL 33711
Phone (727) 263-2615

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376989590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 84TH AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061509",
            "telephone_number": "727-314-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 CENTRAL AVE STE E2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111045",
            "telephone_number": "727-314-1864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 84th Ave",
            "address_purpose": "LOCATION",
            "city": "St Pete Beach",
            "state": "FL",
            "postal_code": "337061509",
            "country_code": "US",
            "telephone_number": "727-314-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARDSLEE",
        "first_name": "AIMEE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH13919",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.