Individual provider Active NPI

Teda Kokoneshi

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1396211835
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18136 Issued in FL
Practice address
3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781
Phone
(727) 547-0607
NPI assigned
Oct 23, 2018
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18136 FL Primary

Addresses

Primary practice location

3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781

Mailing address

3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781-2654
Phone (727) 547-0607

Other practice location 1

3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781
Phone (727) 547-0607

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
I20260109002660 FL Practitioner - Mental Health Counselor 2062998933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10751 Maple Creek Dr
Suite 101
New Port Richey, FL 34655-4418

801 2ND St N
Suite 7
Safety Harbor, FL 34695-3503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18136FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychology Associates Inc Mental Health CurrentSince Dec 12, 2025 Accepting new patients
Lynda Gurvitz PHD Inc Past Accepting new patients

Locations

801 2nd St N
Ste 7
Safety Harbor, FL 34695
Phone (727) 725-8820

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1396211835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 GANDY BLVD N STE 201",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812654",
            "telephone_number": "727-547-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 GANDY BLVD N STE 201",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "727-547-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3491 Gandy Blvd N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "33781",
            "country_code": "US",
            "telephone_number": "727-547-0607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKONESHI",
        "first_name": "TEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.