Organization Active NPI

Deborah a Clements LMHC PA

  • Community/Behavioral Health Agency
  • St Petersburg, FL
National Provider Identifier
1811373780
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH10350 Issued in FL
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

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Ms. Deborah A Clements, LMHCNPI 1275843153
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
592092717MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.