Active NPI
Cliford Cineas
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1619514858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4422 E Columbus Dr
Tampa, FL 33605-3233 - Phone
- (813) 384-4107
- NPI assigned
- Dec 6, 2019
- Last updated
- Feb 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4311 | FL | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4422 E Columbus Dr
Tampa, FL 33605-3233
Mailing address
4422 E Columbus Dr
Tampa, FL 33605-3233
Phone (813) 384-4107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4311 | Other | FL | FLORIDA CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clifordc@dacco.org | DACCO Behavioral Health Inc |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4311 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1619514858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 E COLUMBUS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336053233",
"telephone_number": "813-384-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 E COLUMBUS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336053233",
"telephone_number": "813-384-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINEAS",
"first_name": "CLIFORD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-06",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "4311",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD",
"identifier": "4311",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clifordc@dacco.org",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "DACCO Behavioral Health Inc",
"address_1": "4422 E Columbus Dr",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336053233",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 15, 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.