Counseling Services of Tampa Bay

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COUNSELING SERVICES OF TAMPA BAY

Practice address

13575 58TH St N
Suite 230
Clearwater, FL 33760-3740

Phone

(727) 314-1224

Fax

(727) 408-6811

NPI assigned

Feb 3, 2016

Organization subpart

Yes

Parent organization

BOURNE CONSULTING SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Tracey Bourne, L.M.HC.NPI 1174943526

Title

Owner

Phone

(727) 314-1224

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey R Bourne, L.M.H.C.

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1174943526

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1720446909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 58TH ST N",
            "address_2": "#188",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603740",
            "telephone_number": "727-314-1224",
            "fax_number": "727-408-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 58TH ST N",
            "address_2": "SUITE 230",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603740",
            "telephone_number": "727-314-1224",
            "fax_number": "727-408-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF TAMPA BAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOURNE CONSULTING SERVICES LLC",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-314-1224",
        "authorized_official_credential": "L.M.HC."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.