Organization Active NPI

Star Mental Health Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1497225452
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STAR MENTAL HEALTH INC
Practice address
5110 N Armenia Ave
Tampa, FL 33603-1406
Phone
(813) 610-3262
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Mayelin SantosNPI 1134394000
Title
Owner
Phone
(813) 610-3262

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5110 N Armenia Ave
Tampa, FL 33603-1406

Mailing address

5110 N Armenia Ave Ste a
Tampa, FL 33603-1406
Phone (813) 348-0388

Other identifiers 1

IdentifierTypeStateIssuer
101743600MedicaidFL

National Provider Directory

National Provider Directory

Locations

5110 N Armenia Ave
Ste A
Tampa, FL 33603

5110 N Armenia Ave
Tampa, FL 33603
Phone (813) 610-3262

5124 N Armenia Ave
Ste A
Tampa, FL 33603

5124 N Armenia Ave
Tampa, FL 33603
Phone (813) 304-1904

Practitioners & affiliated clinicians

Practitioners 1

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": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1497225452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N ARMENIA AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031406",
            "telephone_number": "813-348-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031406",
            "telephone_number": "813-610-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MAYELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-610-3262"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101743600",
            "state": "FL"
        }
    ],
    "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 Jun 23, 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.