Individual provider Active NPI

Latanya S Richardson, M.S.ED, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1487086765
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24809 Issued in FL
Practice address
2902 W Bearss Ave
Tampa, FL 33618-1828
Phone
(813) 330-0423
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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 MH24809 FL Primary

Addresses

Primary practice location

2902 W Bearss Ave
Tampa, FL 33618-1828

Mailing address

2751 E County Line Rd Unit 435
Lutz, FL 33559-3439
Phone (813) 330-0423

Other practice location 1

2070 Sweetbroom Cir Apt 303
Lutz, FL 33559-8727
Phone (813) 330-0423

Other practice location 2

2751 E County Line Rd Unit 435
Lutz, FL 33559-3439
Phone (813) 330-0423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250120000644 FL Practitioner - Mental Health Counselor 4082143151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Blessed Consulting & Counseling LLC Mental Health CurrentSince Oct 7, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 17, 2024 Accepting new patients

Locations

2751 E County Line Rd
Lutz, FL 33559
Phone (813) 330-0423

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

30740 Wesley Chapel Blvd
Wesley Chapel, FL 33543
Phone (813) 330-0423

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1487086765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 E COUNTY LINE RD UNIT 435",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593439",
            "telephone_number": "813-330-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181828",
            "telephone_number": "813-330-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Sweetbroom Cir Apt 303",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335598727",
            "country_code": "US",
            "telephone_number": "813-330-0423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 E County Line Rd Unit 435",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335593439",
            "country_code": "US",
            "telephone_number": "813-330-0423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LATANYA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.