Individual provider Active NPI

Panagiota Marie Markopoulos, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1649997701
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21261 Issued in FL
Practice address
4405 W Wallcraft Ave
Tampa, FL 33611-1163
Phone
(727) 251-9293
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 21261 FL Primary

Addresses

Primary practice location

4405 W Wallcraft Ave
Tampa, FL 33611-1163

Mailing address

4405 W Wallcraft Ave
Tampa, FL 33611-1163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120000122 FL Practitioner - Mental Health Counselor 5193173839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upshaw TMS LLCGroup PAC ID 3678819349, 13 clinicians

Practice addresses (Care Compare)

6511 Gunn Hwy
Tampa, FL 33625-4021
Phone (813) 605-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21261FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospa TMS LLC CurrentSince Jan 1, 2024 Accepting new patients
Upshaw TMS LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1170 Nikki View Dr
Brandon, FL 33511
Phone (813) 605-1122

5147 S Lakeland Dr
Ste 1
Lakeland, FL 33813
Phone (863) 262-7881

4419 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 318-4621

6511 Gunn Hwy
Tampa, FL 33625
Phone (813) 605-1122

2306 Ashley Oaks Cir
Ste 101
Zephyrhills, FL 33544
Phone (813) 322-6776

Organizations & group practices 2

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1649997701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W WALLCRAFT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W WALLCRAFT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111163",
            "telephone_number": "727-251-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOPOULOS",
        "first_name": "PANAGIOTA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.