Individual provider Active NPI

Hannah Elizabeth Bodenhorn, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1497417646
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22893 Issued in FL
Practice address
14924 Casey Rd
Tampa, FL 33624-2317
Phone
(813) 419-3186
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 MH22893 FL Primary

Addresses

Primary practice location

14924 Casey Rd
Tampa, FL 33624-2317

Mailing address

14924 Casey Rd Ste B
Tampa, FL 33624-2317
Phone (813) 402-2002

Other identifiers 1

IdentifierTypeStateIssuer
MH22893OtherFLFLORIDA BOARD OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@tampacounselingplace.com Direct

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

LicenseStateTypeSpecialty
MH22893FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Counseling Place, LLC Mental Health CurrentSince Jan 21, 2024 Accepting new patients

Locations

14924 Casey Rd
Ste B
Tampa, FL 33624
Phone (813) 419-3186

Organizations & group practices 1

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1497417646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14924 CASEY RD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242317",
            "telephone_number": "813-402-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14924 CASEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242317",
            "telephone_number": "813-419-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENHORN",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF HEALTH",
            "identifier": "MH22893",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tampacounselingplace.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14924 Casey Rd",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336242317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 27, 2023; 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.