Active NPI
Barry Ellsworth Blood Jr., LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1558549220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8927
- Practice address
- 9215 N Florida Ave
Suite 109
Tampa, FL 33612-7938 - Phone
- (813) 930-7586
- Fax
- (866) 499-0647
- NPI assigned
- Feb 5, 2008
- Sex
- Male
- 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 | MH8927 | FL | Primary |
Addresses
Primary practice location
9215 N Florida Ave
Suite 109
Tampa, FL 33612-7938
Mailing address
9215 N Florida Ave
Suite 109
Tampa, FL 33612-7938
Phone (813) 930-7586
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 |
|---|---|---|---|
| MH8927 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1558549220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9215 N FLORIDA AVE",
"address_2": "SUITE 109",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127938",
"telephone_number": "813-930-7586",
"fax_number": "866-499-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9215 N FLORIDA AVE",
"address_2": "SUITE 109",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127938",
"telephone_number": "813-930-7586",
"fax_number": "866-499-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOD",
"first_name": "BARRY",
"middle_name": "ELLSWORTH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8927",
"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 Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.