Organization Active NPI

Proactive Solutions Therapy, LLC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1609115427
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 11051 Issued in FL
Legal business name
PROACTIVE SOLUTIONS THERAPY, LLC
Practice address
2203 N Lois Ave
Ste 961
Tampa, FL 33607-2370
Phone
(813) 802-2025
NPI assigned
Feb 14, 2013
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Ms. Anthia Eliza Casanova, LMHC/CAPNPI 1841333838
Title
Owner/Therapist
Phone
(813) 802-2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 4805 FL
Mental Health Counselor 101YM0800X MH 11051 FL Primary

Addresses

Primary practice location

2203 N Lois Ave
Ste 961
Tampa, FL 33607-2370

Mailing address

8304 Riverboat Dr
Tampa, FL 33637-6580
Phone (813) 802-2025

National Provider Directory

National Provider Directory

Locations

2203 N Lois Ave
Ste 961
Tampa, FL 33607
Phone (813) 802-2025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1609115427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 RIVERBOAT DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336376580",
            "telephone_number": "813-802-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 N LOIS AVE",
            "address_2": "STE 961",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072370",
            "telephone_number": "813-802-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SOLUTIONS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "ANTHIA",
        "authorized_official_middle_name": "ELIZA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "813-802-2025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC/CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 4805",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.