Katie Merricks Counseling, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KATIE MERRICKS COUNSELING, LLC

Practice address

1700 N McMullen Booth Rd Ste C1
Clearwater, FL 33759-2129

Phone

(727) 228-2388

Fax

(727) 228-2388

NPI assigned

Mar 25, 2019

Last updated

Mar 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katie Merricks, PH.D., LMHC, NCCNPI 1902259740

Title

Licensed Psychologist/Founder

Phone

(727) 228-2388

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Merricks

  • Psychologist
  • Clearwater, FL
  • NPI 1902259740
  NPD Authorized official

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1700346632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE C1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE C1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592129",
            "telephone_number": "727-228-2388",
            "fax_number": "727-228-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE MERRICKS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "MERRICKS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/FOUNDER",
        "authorized_official_telephone_number": "727-228-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902259740",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.drkatiemerricks.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1700 N McMullen Booth Rd Ste C1",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337592129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melynda Karlene, DO
• Jeffrey M Karp, MD
• Iryna V Kasumova, AGACNP-BC, MSN, CWS
• Maria Vassiliki Katehis, APRN
• Kathy L Anderson DO PA
• Suzanne Katifedenios
• Sreedhar Katragadda, MD
• Marilyn K Katz, LMHC
• Donna Anne Blair Katzara
• Stuart A. Kauffman, D.O.

• Psychologist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.