Bethesda Revive Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BETHESDA REVIVE COUNSELING SERVICES, LLC

Practice address

4100 W Kennedy Blvd Ste 310
Tampa, FL 33609-2290

Phone

(813) 535-4594

Fax

(813) 706-3723

NPI assigned

Jun 19, 2026

Last updated

Jun 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Margarita Sosa Baladron, LMHC

Title

Psychotherapist

Phone

(813) 535-4594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1609702422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092290",
            "telephone_number": "813-535-4594",
            "fax_number": "813-706-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092290",
            "telephone_number": "813-535-4594",
            "fax_number": "813-706-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA REVIVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "SOSA BALADRON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "813-535-4594",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.