Active NPI
Samantha Dyke, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1629687066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17388
- Practice address
- 6044 Parkside Meadow Dr
Tampa, FL 33625-5757 - Phone
- (610) 291-2441
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17388 | FL | Primary |
Addresses
Primary practice location
6044 Parkside Meadow Dr
Tampa, FL 33625-5757
Mailing address
6044 Parkside Meadow Dr
Tampa, FL 33625-5757
Phone (610) 291-2441
Other practice location 1
111 2nd Ave NE Ste 1007
Saint Petersburg, FL 33701-3442
Phone (727) 344-9867
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 |
|---|---|---|---|
| MH17388 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1629687066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6044 PARKSIDE MEADOW DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336255757",
"telephone_number": "610-291-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6044 PARKSIDE MEADOW DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336255757",
"telephone_number": "610-291-2441"
}
],
"practiceLocations": [
{
"address_1": "111 2nd Ave NE Ste 1007",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337013442",
"country_code": "US",
"telephone_number": "727-344-9867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYKE",
"first_name": "SAMANTHA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17388",
"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 May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.