Individual provider Active NPI

Victoria Isabelle Clark, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1457880957
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13541 Issued in FL
Practice address
689 Central Ave
St Petersburg, FL 33701
Phone
(727) 744-8732
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 13541 FL Primary

Addresses

Primary practice location

689 Central Ave
St Petersburg, FL 33701

Mailing address

4619 Helena St NE
St Petersburg, FL 33703-4357
Phone (727) 744-8732

Other practice location 1

5411 Bayshore Blvd Apt 110
Tampa, FL 33611-4138
Phone (727) 744-8732

Other practice location 2

4619 Helena St NE
St Petersburg, FL 33703-4357
Phone (727) 744-8732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8698 15TH St N
Saint Petersburg, FL 33702-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13541FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inherent Strength, LLC. CurrentSince Aug 18, 2019 Accepting new patients

Locations

689 Central Ave
St Petersburg, FL 33701
Phone (727) 744-8732

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1457880957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 HELENA ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034357",
            "telephone_number": "727-744-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-744-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5411 Bayshore Blvd Apt 110",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336114138",
            "country_code": "US",
            "telephone_number": "727-744-8732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4619 Helena St NE",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337034357",
            "country_code": "US",
            "telephone_number": "727-744-8732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "VICTORIA",
        "middle_name": "ISABELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.