Active NPI
Selena Chanel Bowden Lemons, LMHC, NCC, CAP
- Mental Health Counselor
- Gibsonton, FL
National Provider Identifier
1669865267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 12995
- Practice address
- 11514 Button Bay PL
Gibsonton, FL 33534-3021 - Phone
- (813) 695-4543
- NPI assigned
- Mar 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP 6009 | FL | |
| Mental Health Counselor | 101YM0800X | MH 12995 | FL | Primary |
Addresses
Primary practice location
11514 Button Bay PL
Gibsonton, FL 33534-3021
Mailing address
11514 Button Bay PL
Gibsonton, FL 33534-3021
Phone (813) 695-4543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAP 6009 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH 12995 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1669865267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11514 BUTTON BAY PL",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335343021",
"telephone_number": "813-695-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11514 BUTTON BAY PL",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335343021",
"telephone_number": "813-695-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMONS",
"first_name": "SELENA",
"middle_name": "CHANEL BOWDEN",
"name_prefix": "Mrs.",
"credential": "LMHC, NCC, CAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CAP 6009",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 12995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gibsonton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.