Active NPI
Monica Southers
- Mental Health Counselor
- Riverview, FL
National Provider Identifier
1659161768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 27639
- Practice address
- 6320 US 301 S
Riverview, FL 33578-3829 - Phone
- (813) 419-3386
- NPI assigned
- May 12, 2025
- 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 | 27639 | FL | Primary |
Addresses
Primary practice location
6320 US 301 S
Riverview, FL 33578-3829
Mailing address
6320 US Highway 301 S
Riverview, FL 33578-3829
Phone (571) 455-3631
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 |
|---|---|---|---|
| 27639 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truecandor Behavioral Health, LLC | Mental Health | Current | Accepting new patients |
Locations
6320 US Highway 301 S
Riverview, FL 33578
Phone (813) 419-3386
Organizations & group practices 1
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": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1659161768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 US HIGHWAY 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783829",
"telephone_number": "571-455-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 US 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783829",
"telephone_number": "813-419-3386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERS",
"first_name": "MONICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-12",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "27639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.