Malissa B Withers, LMHC

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1515 Michelin CT
Lutz, FL 33549-7533

Phone

(813) 949-8946

Fax

(813) 949-2926

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sense the Possibilities, LLC

  • Mental Health Counselor
  • Lutz, FL
  • NPI 1447873401
  NPD (past)
• University Medical Service Association Inc

  • Neurological Surgery Physician
  • Tampa, FL
  • NPI 1740227966
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1689735375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MICHELIN CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335497533",
            "telephone_number": "813-949-8946",
            "fax_number": "813-948-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MICHELIN CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335497533",
            "telephone_number": "813-949-8946",
            "fax_number": "813-949-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "MALISSA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8079",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767385000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willow Wellness Collective LLC
• Jane C. Wilson
• Stephanie Lynn Wilson, FNP-BC
• Meaghan Windisch
• Alexis Kathryn Winters, DC
• Peter Woermer
• Aaron R Wolff, PHARM. D.
• Womens Care Florida LLP
• Wonderley Consultation and Counseling Services
• Marni Wonderley

• Social Worker in Lutz, FL
• Providers in Lutz, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.