Individual provider Active NPI

Dharti Atchison, LCSW

  • Counselor
  • Largo, FL
National Provider Identifier
1669147229
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SW17939 Issued in FL
Practice address
2320 Williams Dr
Largo, FL 33778-1242
Phone
(713) 423-9870
NPI assigned
Aug 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW17939 FL Primary

Addresses

Primary practice location

2320 Williams Dr
Largo, FL 33778-1242

Mailing address

2320 Williams Dr
Largo, FL 33778-1242
Phone (713) 423-9870

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
I20230220001288 FL Practitioner - Clinical Social Worker 6002288107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12360 66TH St
Largo, FL 33773-3434
Phone (727) 607-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Quality BHS Florida, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

1100 N Pine St
Clearwater, FL 33756
Phone (727) 442-7106

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

3865 Tampa Rd
Oldsmar, FL 34677
Phone (516) 680-8080

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

100 2nd Ave N
Ste 320
St Petersburg, FL 33701
Phone (727) 564-9955

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

Organizations & group practices 3

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": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1669147229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WILLIAMS DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337781242",
            "telephone_number": "713-423-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WILLIAMS DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337781242",
            "telephone_number": "713-423-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHISON",
        "first_name": "DHARTI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW17939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.