Organization Active NPI

The Well Counseling Services of Tampa Bay

  • Clinical Social Worker
  • Land O' Lakes, FL
National Provider Identifier
1568089829
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE WELL COUNSELING SERVICES OF TAMPA BAY
Practice address
19337 Shumard Oak Dr
Land O Lakes, FL 34638-7235
Phone
(813) 693-0654
Fax
(813) 441-7320
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Ms. Michelle Rodriguez, LCSWNPI 1346694734
Title
Owner/Provider
Phone
(813) 693-0654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

19337 Shumard Oak Dr
Land O Lakes, FL 34638-7235

Mailing address

20203 Indian Rosewood Dr
Tampa, FL 33647-3486
Phone (813) 693-0654

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://secure.simplepractice.com/ Direct

National Provider Directory

National Provider Directory

Locations

19337 Shumard Oak Dr
Land O Lakes, FL 34638
Phone (347) 350-3311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1568089829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20203 INDIAN ROSEWOOD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473486",
            "telephone_number": "813-693-0654",
            "fax_number": "813-441-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19337 SHUMARD OAK DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387235",
            "telephone_number": "813-693-0654",
            "fax_number": "813-441-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELL COUNSELING SERVICES OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "813-693-0654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19337 Shumard Oak Dr",
            "city": "Land O Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346387235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.