Active NPI
Cheryl Ann Champagne, MS
- Mental Health Counselor
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22043
- Practice address
- 7623 Little Rd Ste 300-325B
New Port Richey, FL 34654-5570 - Phone
- (727) 910-5990
- NPI assigned
- Aug 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22043 | FL | Primary |
Addresses
Primary practice location
7623 Little Rd Ste 300-325B
New Port Richey, FL 34654-5570
Mailing address
36750 US Highway 19 N
Palm Harbor, FL 34684-1239
Phone (917) 361-7201
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22043 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita Springs Retirement Village, Inc. | Current | Accepting new patients | |
| Dna Comprehensive Therapy Services, LLC | Mental Health | Current | Accepting new patients |
| Hyde Psychological Services LLC | Current | Accepting new patients |
Locations
4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916
7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990
1150 Tampa Rd
Palm Harbor, FL 34683
Phone (727) 469-3008
3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555
5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870
Organizations & group practices 3
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.
-
dba Elite DNA Therapy Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
-
dba Pinellas Anxiety Specialists
- Clinical Psychologist
- Palm Harbor, FL
- NPI 1679080790
-
dba The Terraces at Bonita Springs
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1396411062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36750 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841239",
"telephone_number": "917-361-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7623 LITTLE RD STE 300-325B",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346545570",
"telephone_number": "727-910-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPAGNE",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-21",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "22043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
- Center for Neuropsychiatry PLLC
- Centerwell Senior Primary Care FL JV PLLC (Conviva New Port Richey)
- Linda Lee Chamberlain, PSY D
- Joy E Chambers, MA,RD,LD/N
- Cassandra Champagne, CMMP
- Chapters Health Home Care, LLC (Chapters Health Home Care)
- Kathleen J Chaykosky, MS
- Chen-Sien Hu M D P a
- Steven Cheung, D.P.T
- Cynthia Chinwendu Chiaku
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.