Zaneta Ellison, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12585 Issued in FL

Practice address

1601 49TH St S
Gulfport, FL 33707-4340

Phone

(727) 687-0997

NPI assigned

Mar 2, 2013

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Vision Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Gulfport, FL
  • NPI 1497291041
  NPD Authorized official

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

{
    "created_epoch": "1362182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1578804456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11913",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337331913",
            "telephone_number": "727-687-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 49TH ST S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074340",
            "telephone_number": "727-687-0997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 66th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337106939",
            "country_code": "US",
            "telephone_number": "727-687-0997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2235 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337123370",
            "country_code": "US",
            "telephone_number": "727-687-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "ZANETA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-02",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Elizabeth a. Douglas D.C.
• Dr. Katie Schubert, LLC
• Dr. Stuart Pollack, D.C., P.a.
• Gabrielle Elchaar, DPT
• Scott Clifton Elliott, L.M.T.
• Sarah Fischer
• John Scott Fitzgerald
• Leah R Floyd, LCAT, ATR-BC
• Freedom Unlimited Now (ProjectFREE)
• George W Monlux Jr MD Inc

• Mental Health Counselor in Gulfport, FL
• Providers in Gulfport, 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 Sep 17, 2021; 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.