Individual provider Active NPI

Judith Becker, LMHC

  • Mental Health Counselor
  • Palm Harbor, FL
National Provider Identifier
1720215288
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 9824 Issued in FL
Practice address
2311 Alt. 19
Suite #1
Palm Harbor, FL 34683
Phone
(727) 254-9183
NPI assigned
Jun 11, 2009
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 9824 FL Primary

Addresses

Primary practice location

2311 Alt. 19
Suite #1
Palm Harbor, FL 34683

Mailing address

2520 Royal Pines Cir Apt a
Clearwater, FL 33763-1103
Phone (727) 797-4655

Other identifiers 1

IdentifierTypeStateIssuer
11972803OtherFLCAQH

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
I20250220000331 FL Practitioner - Mental Health Counselor 7416477559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 9824FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Positive Change, Inc. Mental Health CurrentSince Feb 5, 2025 Accepting new patients

Locations

2901 Rigsby Ln
Safety Harbor, FL 34695
Phone (727) 218-8870

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1720215288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ROYAL PINES CIR APT A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631103",
            "telephone_number": "727-797-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ALT. 19",
            "address_2": "SUITE #1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-254-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11972803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.