Active NPI
Hall Birdsong, LMHC
- Mental Health Counselor
- St Petersburg, FL
National Provider Identifier
1447998331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH24683.
- Practice address
- 2837 1St Ave N
St Petersburg, FL 33713-8603 - Phone
- (727) 513-5932
- NPI assigned
- May 22, 2022
- Sex
- Male
- Sole proprietor
- No
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 | MH24683. | FL | Primary |
Addresses
Primary practice location
2837 1St Ave N
St Petersburg, FL 33713-8603
Mailing address
4244 Central Ave
St Petersburg, FL 33711-1140
Phone (813) 501-7869
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH24683. | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1447998331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4244 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111140",
"telephone_number": "813-501-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138603",
"telephone_number": "727-513-5932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRDSONG",
"first_name": "HALL",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH24683.",
"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 Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.