Active NPI
Deborah a Clements LMHC PA
- Community/Behavioral Health Agency
- St Petersburg, FL
National Provider Identifier
1811373780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH10350
- Legal business name
- DEBORAH A CLEMENTS LMHC PA
- Practice address
- 275 4TH St N
St Petersburg, FL 33701-3205 - Phone
- (813) 625-6055
- Fax
- (727) 823-8082
- NPI assigned
- Aug 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah A Clements, LMHC
- Title
- Owner
- Phone
- (813) 625-6055
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MH10350 | FL | Primary |
Addresses
Primary practice location
275 4TH St N
St Petersburg, FL 33701-3205
Mailing address
PO Box 76423
St Petersburg, FL 33734-6423
Phone (813) 625-6055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592092717 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- St Petersburg, FL
- NPI 1275843153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438560000000",
"number": "1811373780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 76423",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337346423",
"telephone_number": "813-625-6055",
"fax_number": "727-823-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013205",
"telephone_number": "813-625-6055",
"fax_number": "727-823-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH A CLEMENTS LMHC PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A",
"authorized_official_last_name": "CLEMENTS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-625-6055",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "MH10350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "592092717",
"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 Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.