Active NPI
Krishna R Panchal, MS
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1467610568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH6788
- Practice address
- 1412 Tech Blvd
Tampa, FL 33619-7865 - Phone
- (813) 635-9765
- NPI assigned
- May 27, 2008
- Sex
- Female
- 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 | IMH6788 | FL | Primary |
Addresses
Primary practice location
1412 Tech Blvd
Tampa, FL 33619-7865
Mailing address
11405 Windsor Pointe Dr
Apt. 203
Brandon, FL 33511-2740
Phone (407) 310-8523
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH6788 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camelot Community Care, Inc | Past | Accepting new patients | |
| Camelot Community Care, Inc | Past | 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 and National Provider Directory roles.
-
- Foster Care Agency
- Tampa, FL
- NPI 1619225679
-
- Foster Care Agency
- Tampa, FL
- NPI 1639406093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1467610568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11405 WINDSOR POINTE DR",
"address_2": "APT. 203",
"city": "BRANDON",
"state": "FL",
"postal_code": "335112740",
"telephone_number": "407-310-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 TECH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197865",
"telephone_number": "813-635-9765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCHAL",
"first_name": "KRISHNA",
"middle_name": "R",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH6788",
"primary": true
}
],
"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 May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.