Individual provider Active NPI

Joshua Klink

  • Professional Counselor
  • St Petersburg, FL
National Provider Identifier
1376997270
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2843-226 Issued in WI
Practice address
3840 5TH Ave N
St Petersburg, FL 33713-7521
Phone
(727) 367-2273
NPI assigned
Apr 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2843-226 WI Primary

Addresses

Primary practice location

3840 5TH Ave N
St Petersburg, FL 33713-7521

Mailing address

151 7TH St S Unit 205
St Petersburg, FL 33701-4046
Phone (920) 946-2852

Other identifiers 1

IdentifierTypeStateIssuer
2843-226OtherWISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430000532 FL Practitioner - Mental Health Counselor 6800312117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2843-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Community Counseling LLC CurrentSince Mar 1, 2023 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Mar 25, 2025 Accepting new patients
Sebastian Family Psycholgy Practice Professional Past Accepting new patients
Caring Community Counseling PastSince Aug 28, 2022 Accepting new patients
Sebastian Family Psycholgy Practice Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3840 5th Ave N
St Petersburg, FL 33713
Phone (727) 367-2273

Organizations & group practices 5

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": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1376997270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 7TH ST S UNIT 205",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014046",
            "telephone_number": "920-946-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137521",
            "telephone_number": "727-367-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINK",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2843-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2843-226",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.