Individual provider Active NPI

Aaron Lee Warren, MS, LMFT

  • Marriage & Family Therapist
  • Saint Petersburg, FL
National Provider Identifier
1528707015
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4774 Issued in FL
Practice address
3139 Xenia St N
Saint Petersburg, FL 33713-2923
Phone
(828) 557-3540
NPI assigned
Jun 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4774 FL Primary

Addresses

Primary practice location

3139 Xenia St N
Saint Petersburg, FL 33713-2923

Mailing address

3139 Xenia St N
Saint Petersburg, FL 33713-2923
Phone (828) 557-3540

Other practice location 1

9400 4th St N Ste 200
St Petersburg, FL 33702-2501
Phone (727) 513-2962

Other identifiers 1

IdentifierTypeStateIssuer
W650012941380MedicaidFL

Other names 1

  • Charles Aaron Warren Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awarren@elliementalhealth.org

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
I20240710000803 FL Practitioner - Marriage and Family Therapist 0840735239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Clover, LLC CurrentSince May 29, 2024 Accepting new patients

Locations

9400 4th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 513-2962

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1528707015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 XENIA ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337132923",
            "telephone_number": "828-557-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 XENIA ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337132923",
            "telephone_number": "828-557-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 4th St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337022501",
            "country_code": "US",
            "telephone_number": "727-513-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "AARON",
        "middle_name": "LEE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W650012941380",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awarren@elliementalhealth.org",
            "affiliation": "N",
            "address_1": "3139 Xenia St N",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337132923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "WARREN",
            "middle_name": "AARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.