Active NPI
Roni Flynn, PSY.D., LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1528250511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH0003046
- Practice address
- 12708 N Dale Mabry Hwy
Tampa, FL 33618-2802 - Phone
- (727) 656-1799
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH0003046 | FL | Primary |
Addresses
Primary practice location
12708 N Dale Mabry Hwy
Tampa, FL 33618-2802
Mailing address
1 Beach Dr SE
2612
St Petersburg, FL 33701-3963
Phone (727) 656-1799
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 |
|---|---|---|---|
| MH0003046 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1528250511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BEACH DR SE",
"address_2": "2612",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013963",
"telephone_number": "727-656-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12708 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182802",
"telephone_number": "727-656-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "RONI",
"name_prefix": "Dr.",
"credential": "PSY.D., LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0003046",
"primary": true
}
],
"identifiers": [],
"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 Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.