Individual provider Active NPI

Emily Sarah Tripp, LMHC, MA

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1407510266
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19148 Issued in FL
Practice address
111 2ND Ave NE Ste 640
St Petersburg, FL 33701-3455
Phone
(727) 344-9867
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 MH19148 FL Primary

Addresses

Primary practice location

111 2ND Ave NE Ste 640
St Petersburg, FL 33701-3455

Mailing address

111 2ND Ave NE Ste 640
St Petersburg, FL 33701-3455
Phone (727) 344-9867

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https//www.mcnultycounseling.com

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH19148FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1407510266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE STE 640",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013455",
            "telephone_number": "727-344-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE STE 640",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013455",
            "telephone_number": "727-344-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "EMILY",
        "middle_name": "SARAH",
        "credential": "LMHC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https//www.mcnultycounseling.com",
            "affiliation": "N",
            "address_1": "111 2nd Ave NE Ste 640",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337013455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 27, 2021; 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.