Individual provider Active NPI

Naomi Ruth Waterskarrick, LMHC

  • Mental Health Counselor
  • Largo, FL
National Provider Identifier
1477859726
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10432 Issued in FL
Practice address
801 W Bay Dr
Suite 411-412
Largo, FL 33770-3269
Phone
(727) 692-4217
Fax
(727) 489-2421
NPI assigned
Feb 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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 MH10432 FL Primary

Addresses

Primary practice location

801 W Bay Dr
Suite 411-412
Largo, FL 33770-3269

Mailing address

801 W Bay Dr
Suite 411-412
Largo, FL 33770-3269
Phone (727) 692-4217

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
MH10432FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1477859726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR",
            "address_2": "SUITE 411-412",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-692-4217",
            "fax_number": "727-489-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR",
            "address_2": "SUITE 411-412",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-692-4217",
            "fax_number": "727-489-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERSKARRICK",
        "first_name": "NAOMI",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.