Individual provider Active NPI

Christopher Paul Dewitt, BA, C.A.P., CPRP

  • Addiction (Substance Use Disorder) Counselor
  • St Petersburg, FL
National Provider Identifier
1790111318
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
555 31St St S
St Petersburg, FL 33712-1422
Phone
(727) 209-2456
Fax
(727) 209-0297
NPI assigned
Sep 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

555 31St St S
St Petersburg, FL 33712-1422

Mailing address

555 31St St S
St Petersburg, FL 33712-1422
Phone (727) 209-2456

Other identifiers 2

IdentifierTypeStateIssuer
164942OtherFLCERTIFIED PSYCHIATRIC REHABILITATION PRACTITIONER
1812OtherFLCERTIFIED ADDICTION PROFESSIONAL

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1790111318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 31ST ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337121422",
            "telephone_number": "727-209-2456",
            "fax_number": "727-209-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 31ST ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337121422",
            "telephone_number": "727-209-2456",
            "fax_number": "727-209-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "credential": "BA, C.A.P., CPRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PSYCHIATRIC REHABILITATION PRACTITIONER",
            "identifier": "164942",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ADDICTION PROFESSIONAL",
            "identifier": "1812",
            "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 Sep 16, 2013; 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.