Active NPI
Marissa Geraci, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1497173785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13719
- Practice address
- 730 S Sterling Ave
Suite 204
Tampa, FL 33609 - Phone
- (813) 675-7749
- Fax
- (813) 867-3220
- NPI assigned
- Apr 3, 2014
- Last updated
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Mental Health Counselor | 101YM0800X | MH13719 | FL | Primary |
Addresses
Primary practice location
730 S Sterling Ave
Suite 204
Tampa, FL 33609
Mailing address
2401 Bayshore Blvd
Unit 412
Tampa, FL 33629
Phone (813) 675-7749
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH13719 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1497173785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 BAYSHORE BLVD",
"address_2": "UNIT 412",
"city": "TAMPA",
"state": "FL",
"postal_code": "33629",
"telephone_number": "813-675-7749",
"fax_number": "813-867-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 S STERLING AVE",
"address_2": "SUITE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609",
"telephone_number": "813-675-7749",
"fax_number": "813-867-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERACI",
"first_name": "MARISSA",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-03",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH13719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Lena A Georges, DPM
- Georgia Better Health Group LLC
- Georgia Surgicare (IBI Urgent Care Center at Tampa)
- Georgia Surgicare (IBI Pain and Spine at Tampa)
- Maureen Georgy Palso, DDS
- Gerald H Dominguez, MD PA
- Gerald L. Spoto, D.D.S., P.a.
- Gerald M Copeland II DMD
- Gerald M. Kluft D.D.S. P.a. (Periodontal Associates)
- Gerard C Mosiello MD PL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.