Individual provider Active NPI

Nikola Alexis Ross, MS

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1417350273
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH 12721 Issued in FL
Practice address
3491 Gandy Blvd N
Suite 201
Pinellas Park, FL 33781-2658
Phone
(727) 547-0607
NPI assigned
Oct 7, 2014
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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 IMH 12721 FL Primary

Addresses

Primary practice location

3491 Gandy Blvd N
Suite 201
Pinellas Park, FL 33781-2658

Mailing address

3491 Gandy Blvd N
Suite 201
Pinellas Park, FL 33781-2658
Phone (727) 547-0607

Other names 1

  • Miss Nikola Alexis Townend Former name

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 Science

State licenses

LicenseStateTypeSpecialty
IMH 12721FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1417350273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 GANDY BLVD N",
            "address_2": "SUITE 201",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812658",
            "telephone_number": "727-547-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 GANDY BLVD N",
            "address_2": "SUITE 201",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812658",
            "telephone_number": "727-547-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "NIKOLA",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 12721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKOLA",
            "last_name": "TOWNEND",
            "middle_name": "ALEXIS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.