NPIMap

Organization Active NPI

New Vision Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Gulfport, FL
National Provider Identifier
1497291041
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH12585 Issued in FL
Legal business name
NEW VISION BEHAVIORAL HEALTH INC
Practice address
1601 49TH St S
Gulfport, FL 33707-4340
Phone
(727) 687-0997
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Zaneta Ellison, LMHCNPI 1578804456
Title
Owner/Therapist
Phone
(727) 400-7643

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
Community/Behavioral Health Agency 251S00000X MH12585 FL Primary

Addresses

Primary practice location

1601 49TH St S
Gulfport, FL 33707-4340

Mailing address

PO Box 11913
Saint Petersburg, FL 33733-1913
Phone (727) 687-0997

Other practice location 1

511 66th St N
St Petersburg, FL 33710-6939
Phone (727) 687-0997

Other practice location 2

2235 22nd Ave S
St. Petersburg, FL 33712-3370
Phone (727) 687-0997

National Provider Directory

National Provider Directory

Locations

1601 49th St S
Gulfport, FL 33707
Phone (727) 687-0997

Practitioners & affiliated clinicians

Practitioners 4

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": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1497291041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11913",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337331913",
            "telephone_number": "727-687-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 49TH ST S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074340",
            "telephone_number": "727-687-0997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 66th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337106939",
            "country_code": "US",
            "telephone_number": "727-687-0997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2235 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "337123370",
            "country_code": "US",
            "telephone_number": "727-687-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW VISION BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "ZANETA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "727-400-7643",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH12585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.