Individual provider Active NPI

Amy Triplett

  • Mental Health Counselor
  • Safety Harbor, FL
National Provider Identifier
1609446228
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19262 Issued in FL
Practice address
108 4TH Ave S
Safety Harbor, FL 34695-4020
Phone
(813) 720-7411
NPI assigned
Jun 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH19262 FL Primary

Addresses

Primary practice location

108 4TH Ave S
Safety Harbor, FL 34695-4020

Mailing address

108 4TH Ave S
Safety Harbor, FL 34695-4020
Phone (813) 720-7411

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.baileypsychgroup.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH19262FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Psychology Group P a CurrentSince Jul 2, 2023 Accepting new patients

Locations

108 4th Ave S
Safety Harbor, FL 34695
Phone (727) 793-9177

Organizations & group practices 1

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": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1609446228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 4TH AVE S",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954020",
            "telephone_number": "813-720-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 4TH AVE S",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954020",
            "telephone_number": "813-720-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPLETT",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.baileypsychgroup.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "108 4th Ave S",
            "city": "Safety Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346954020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.