New Tampa Counseling and Mediation, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC 5109 Issued in FL

Legal business name

NEW TAMPA COUNSELING AND MEDIATION, INC.

Practice address

8907 Regents Park Dr
Suite 310
Tampa, FL 33647-3401

Phone

(813) 504-0360

Fax

(813) 977-4120

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Crawford-Clark, LMHC, LMFTNPI 1417381732

Title

Ceo

Phone

(813) 504-0360

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brenda Crawford-Clark, LMHC, LMFT

  • Marriage & Family Therapist
  • Wesley Chapel, FL
  • NPI 1417381732
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1568593135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46458",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460104",
            "telephone_number": "813-504-0360",
            "fax_number": "813-977-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 REGENTS PARK DR",
            "address_2": "SUITE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473401",
            "telephone_number": "813-504-0360",
            "fax_number": "813-977-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TAMPA COUNSELING AND MEDIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD-CLARK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-504-0360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 5109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Moon Services (Seaside Counseling Group)
• New Port Richey Hospital Inc (HCA Florida Citrus Park ER, a part of HCA Florida Trinity Hospital)
• New Regeneration Orthopedics of Florida, PLLC.
• New Tampa Assisted Living Community, LLC
• New Tampa Behavioral Health, Inc.
• New Tampa Dental, P.a.
• New Tampa Health Research, Inc
• New Tampa Health, Inc
• New Tampa Hospitalist LLC
• New Tampa Imaging Center

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.