Individual provider Active NPI

Fay Lino, LMHC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1467170076
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1753 Ringling Blvd
Sarasota, FL 34236-6874
Phone
(941) 366-2224
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 Primary

Addresses

Primary practice location

1753 Ringling Blvd
Sarasota, FL 34236-6874

Mailing address

2688 Fruitville Rd
Sarasota, FL 34237-5223
Phone (941) 366-2224

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connectURL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Yourself Counseling Services LLC Current Accepting new patients
Jewish Family & Childrens Service of the Suncoast Inc CurrentSince Aug 28, 2022 Accepting new patients

Locations

1753 Ringling Blvd
Sarasota, FL 34236
Phone 9413662224 ext. 120

2688 Fruitville Rd
Sarasota, FL 34237
Phone (941) 366-2224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1467170076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2688 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375223",
            "telephone_number": "941-366-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342366874",
            "telephone_number": "941-366-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINO",
        "first_name": "FAY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connectURL",
            "affiliation": "N",
            "address_1": "1753 Ringling Blvd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342366874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.