Individual provider Active NPI

Johnna Stilson, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1437440443
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10608 Issued in FL
Practice address
4047 Iris St N
St Petersburg, FL 33703-5639
Phone
(813) 610-3963
NPI assigned
Apr 25, 2011
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 MH10608 FL Primary

Addresses

Primary practice location

4047 Iris St N
St Petersburg, FL 33703-5639

Mailing address

4047 Iris St N Apt 332
St Petersburg, FL 33703-5639
Phone (813) 610-3963

Other practice location 1

2919 W Swann Ave Ste 201
Tampa, FL 33609-4050
Phone (813) 381-5200

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

State licenses

LicenseStateTypeSpecialty
MH10608FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Counseling Inc. Mental Health CurrentSince Jan 21, 2022 Accepting new patients
Bay Area Neuropsychology, LLC PastSince Mar 1, 2013 Accepting new patients

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1437440443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 IRIS ST N APT 332",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035639",
            "telephone_number": "813-610-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 IRIS ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035639",
            "telephone_number": "813-610-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 W Swann Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094050",
            "country_code": "US",
            "telephone_number": "813-381-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILSON",
        "first_name": "JOHNNA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 10, 2022; 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.