Individual provider Active NPI

Patricia Lala Pupello, LMHC, NCC, CRC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1750612693
Registry record updated Dec 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC 6595 Issued in FL
Practice address
1056 Clearview Street
Tampa, FL 33629
Phone
(813) 817-7598
Fax
(813) 254-0109
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2012

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 LMHC 6595 FL Primary

Addresses

Primary practice location

1056 Clearview Street
Tampa, FL 33629

Mailing address

1056 Clearview Street
Tampa, FL 33629
Phone (813) 817-7598

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

LicenseStateTypeSpecialty
LMHC 6595FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356739200000",
    "number": "1750612693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 CLEARVIEW STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33629",
            "telephone_number": "813-817-7598",
            "fax_number": "813-254-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 CLEARVIEW STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33629",
            "telephone_number": "813-817-7598",
            "fax_number": "813-254-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPELLO",
        "first_name": "PATRICIA",
        "middle_name": "LALA",
        "credential": "LMHC, NCC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2012-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 6595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; 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.