Organization Active NPI

Tampa Trauma Therapy

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1487414884
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TAMPA TRAUMA THERAPY
Practice address
5009 N Central Ave
Tampa, FL 33603-2213
Phone
(727) 644-9414
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melanie Ryerson, MA, LMHCNPI 1235876525
Title
Owner
Phone
(727) 644-9414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5009 N Central Ave
Tampa, FL 33603-2213

Mailing address

15 8TH St N
Saint Petersburg, FL 33701-3614

National Provider Directory

National Provider Directory

Locations

15 8th St N
St Petersburg, FL 33701
Phone (727) 371-6468

5009 N Central Ave
Ste A2L
Tampa, FL 33603

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1487414884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 8TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 N CENTRAL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032213",
            "telephone_number": "727-644-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA TRAUMA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "RYERSON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-644-9414",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Jan 13, 2025; 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.