Organization Active NPI

Samuel Holte Counseling

  • Adult Mental Health Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1750880811
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH14145 Issued in FL
Legal business name
SAMUEL HOLTE COUNSELING
Practice address
1432 Martin Luther King St N # JRN
St Petersburg, FL 33704-3302
Phone
(727) 821-7771
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Mr. Samuel J Holte, MANPI 1790221265
Title
Licensed Mental Health Counselor
Phone
(727) 773-5507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH14145 FL Primary

Addresses

Primary practice location

1432 Martin Luther King St N # JRN
St Petersburg, FL 33704-3302

Mailing address

2715 Miriam St S
Gulfport, FL 33711-3717
Phone (727) 773-5507

National Provider Directory

National Provider Directory

Locations

1432 Ml King St N
St Petersburg, FL 33704
Phone (727) 821-6914

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1750880811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 MIRIAM ST S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337113717",
            "telephone_number": "727-773-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 MARTIN LUTHER KING ST N # JRN",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043302",
            "telephone_number": "727-821-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL HOLTE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "HOLTE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "727-773-5507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH14145",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 5, 2018; 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.