Active NPI
Justine Raquel Rhodes, LMHC
- Mental Health Counselor
- St Petersburg, FL
National Provider Identifier
1730251315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7256
- Practice address
- 1519 Dr Martin Luther King Jr St N
Suite B
St Petersburg, FL 33704-4201 - Phone
- (727) 252-4660
- NPI assigned
- Nov 15, 2006
- Last updated
- Jun 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7256 | FL | Primary |
Addresses
Primary practice location
1519 Dr Martin Luther King Jr St N
Suite B
St Petersburg, FL 33704-4201
Mailing address
1224 21St Ave N
St Petersburg, FL 33704-3934
Phone (727) 374-8604
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730251315 | Other | FL | NPI |
| MH7256 | Other | FL | LMHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7256 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1730251315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 21ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337043934",
"telephone_number": "727-374-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 DR MARTIN LUTHER KING JR ST N",
"address_2": "SUITE B",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044201",
"telephone_number": "727-252-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "JUSTINE",
"middle_name": "RAQUEL",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730251315",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "MH7256",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.