Individual provider Active NPI

Donna Jean Treadwell

  • Mental Health Counselor
  • Tarpon Springs, FL
National Provider Identifier
1508576125
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9611 Issued in FL
Practice address
1787 S Pinellas Ave Ste 400
Tarpon Springs, FL 34689-1929
Phone
(727) 422-0996
Fax
(727) 499-7888
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 MH9611 FL Primary

Addresses

Primary practice location

1787 S Pinellas Ave Ste 400
Tarpon Springs, FL 34689-1929

Mailing address

1787 S Pinellas Ave Ste 400
Tarpon Springs, FL 34689-1929
Phone (727) 422-0996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215001186 FL Practitioner - Mental Health Counselor 9537518584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyde Psychological Services, LLCGroup PAC ID 1153666185, 6 clinicians

Practice addresses (Care Compare)

1150 Tampa Rd
Palm Harbor, FL 34683-5553
Phone (727) 469-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9611FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Psychological Services LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1150 Tampa Rd
Palm Harbor, FL 34683
Phone (727) 469-3008

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1508576125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 S PINELLAS AVE STE 400",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891929",
            "telephone_number": "727-422-0996",
            "fax_number": "727-499-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 S PINELLAS AVE STE 400",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891929",
            "telephone_number": "727-422-0996",
            "fax_number": "727-499-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.