Suncoast RC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ARNP2194342 Issued in FL

Legal business name

SUNCOAST RC, LLC

Doing business as

Advantage Mental Health Center

Practice address

28465 US Highway 19 N
Suite 200
Clearwater, FL 33761-2511

Phone

(727) 600-8093

Fax

(727) 240-0604

NPI assigned

Feb 23, 2015

Last updated

Feb 23, 2015By 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

Dr. William Hervey, MD

Title

Chief Medical Officer

Phone

(727) 600-8093

Specialties & licenses 2

Addresses

Other names 1

• Advantage Mental Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Racine Alequin, LMHC, MCAP

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1881306306
  NPD (past)
• Katherine Rose Rizzo, D.O.

  • Psychiatry Physician
  • Clearwater, FL
  • NPI 1508392820
  NPD (past)
• Jennifer Melaina Self, PHD, PMHNP-BC, LMHC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clearwater, FL
  • NPI 1801174008
  NPD (past)

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1619369071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28465 US HIGHWAY 19 N",
            "address_2": "SUITE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612511",
            "telephone_number": "727-600-8093",
            "fax_number": "727-240-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28465 US HIGHWAY 19 N",
            "address_2": "SUITE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612511",
            "telephone_number": "727-600-8093",
            "fax_number": "727-240-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST RC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "HERVEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "727-600-8093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ME108154",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ARNP2194342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Suncoast Total Healthcare LLC
• Suncoast Total Healthcare LLC
• Suncrest Home Health of Tampa, LLC (SunCrest OMNI)

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, 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 Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.