Individual provider Active NPI

Wanda Barnes, PHD., , LMHCI

  • Mental Health Counselor
  • Saint Petersburg, FL
National Provider Identifier
1588843403
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10356 Issued in FL
Practice address
3840 5TH Ave N
Saint Petersburg, FL 33713-7521
Phone
(727) 367-2273
Fax
(727) 800-6929
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X MH10356 FL Primary

Addresses

Primary practice location

3840 5TH Ave N
Saint Petersburg, FL 33713-7521

Mailing address

2255 18TH St S
Saint Petersburg, FL 33712-3605
Phone (727) 374-2891

Other practice location 1

2255 18th St S
Saint Petersburg, FL 33712-3605
Phone (727) 374-2891

Other identifiers 2

IdentifierTypeStateIssuer
201919487MedicaidFL
015382500MedicaidFL

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
I20250723003614 FL Practitioner - Mental Health Counselor 2860744430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Community Counseling LLC CurrentSince Aug 13, 2013 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 13, 2025 Accepting new patients
Caring Community Counseling Mental Health CurrentSince Nov 19, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3840 5th Ave N
St Petersburg, FL 33713
Phone (727) 367-2273

Organizations & group practices 3

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1588843403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 18TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337123605",
            "telephone_number": "727-374-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 5TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137521",
            "telephone_number": "727-367-2273",
            "fax_number": "727-800-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 18th St S",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337123605",
            "country_code": "US",
            "telephone_number": "727-374-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "WANDA",
        "credential": "PHD., , LMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201919487",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015382500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.