Keyunda Washington, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19651 Issued in FL

Practice address

110 W Country Club Dr
Tampa, FL 33612-5651

Phone

(850) 404-9002

Fax

(850) 848-6596

NPI assigned

Nov 8, 2019

Reactivated

Dec 2, 2020

Last updated

Aug 15, 2025By 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dna Comprehensive Therapy Services, LLC

  dba Elite DNA Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1316363757
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  FL

  Medicare reassignment NPD
• Bonita Springs Retirement Village, Inc.

  dba The Terraces at Bonita Springs

  • Skilled Nursing Facility
  • Bonita Springs, FL
  • NPI 1700126802
  NPD
• FM RNC LLC

  • Skilled Nursing Facility
  • Fort Myers, FL
  • NPI 1497148720
  NPD
• Confidant Texas PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1578282554
  NPD (past)

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1598300907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S KINGS AVE # 1034",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W COUNTRY CLUB DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125651",
            "telephone_number": "850-404-9002",
            "fax_number": "850-848-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Oakfield Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335110827",
            "country_code": "US",
            "telephone_number": "239-690-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KEYUNDA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "deactivation_date": "2019-12-24",
        "reactivation_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidra Washington, IBCLC
• Emmanuel Lawrence Washington
• Gina Patrice Washington, MD
• Iman Washington, M.D.
• Keonnah Washington, RBT
• Lapoloean Washington, PT, NUTRITIONIST
• Latoya R Washington
• Latrice Washington, LMT
• Lisa Anjanette Washington, ARNP
• Minoshka Washington

• 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 Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.