Individual provider Active NPI

Cara Dixon-Taliaferro, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1770959595
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 13626 Issued in FL
Practice address
200 Central Ave
Suite 18-G
St Petersburg, FL 33701-4353
Phone
(941) 465-0686
Fax
(727) 623-4283
NPI assigned
Aug 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 13626 FL Primary

Addresses

Primary practice location

200 Central Ave
Suite 18-G
St Petersburg, FL 33701-4353

Mailing address

8884 Founders Cir
Palmetto, FL 34221-1308
Phone (941) 465-0686

Other names 1

  • Cara Dixon Former name

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
MH 13626FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle ADHD Counseling LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1770959595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8884 FOUNDERS CIR",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211308",
            "telephone_number": "941-465-0686",
            "fax_number": "727-623-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTRAL AVE",
            "address_2": "SUITE 18-G",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014353",
            "telephone_number": "941-465-0686",
            "fax_number": "727-623-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-TALIAFERRO",
        "first_name": "CARA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "DIXON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 18, 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.