Organization Active NPI

South Tampa Counseling Associates

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1447382957
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4509 Issued in FL
Legal business name
SOUTH TAMPA COUNSELING ASSOCIATES
Practice address
3839 W Kennedy Blvd
Suite One
Tampa, FL 33609-2719
Phone
(813) 350-9490
Fax
(813) 877-3839
NPI assigned
Mar 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Eric Gregorisch, MS, LMFTNPI 1033273651
Title
Managing Partner
Phone
(813) 350-9490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4509 FL Primary
Marriage & Family Therapist 106H00000X MT1697 FL

Addresses

Primary practice location

3839 W Kennedy Blvd
Suite One
Tampa, FL 33609-2719

Mailing address

3839 W Kennedy Blvd
Suite One
Tampa, FL 33609-2719
Phone (813) 350-9490

National Provider Directory

National Provider Directory

Locations

3839 W Kennedy Blvd
Ste One
Tampa, FL 33609
Phone (813) 350-9490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1447382957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 W KENNEDY BLVD",
            "address_2": "SUITE ONE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092719",
            "telephone_number": "813-350-9490",
            "fax_number": "813-877-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 W KENNEDY BLVD",
            "address_2": "SUITE ONE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092719",
            "telephone_number": "813-350-9490",
            "fax_number": "813-877-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TAMPA COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREGORISCH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "813-350-9490",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4509",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.