Individual provider Active NPI

Donald Alan Ford, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1477818953
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12129 Issued in FL
Practice address
1304 S de Soto Ave Ste 306
Tampa, FL 33606-7105
Phone
(941) 677-8350
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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 MH12129 FL Primary

Addresses

Primary practice location

1304 S de Soto Ave Ste 306
Tampa, FL 33606-7105

Mailing address

3154 Rawcliffe Rd
Clermont, FL 34714-6169
Phone (941) 677-8350

Other practice location 1

3154 Rawcliffe Rd
Clermont, FL 34714-6169
Phone (941) 677-8350

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

LicenseStateTypeSpecialty
MH12129FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1477818953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 RAWCLIFFE RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146169",
            "telephone_number": "941-677-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S DE SOTO AVE STE 306",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336067105",
            "telephone_number": "941-677-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3154 Rawcliffe Rd",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347146169",
            "country_code": "US",
            "telephone_number": "941-677-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "DONALD",
        "middle_name": "ALAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12129",
            "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 Nov 22, 2021; 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.