Individual provider Active NPI

Clarice Thomas Roberts, LMHC, CAP, CPP, RN

  • Counselor
  • Land O' Lakes, FL
National Provider Identifier
1851031454
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH7727 Issued in FL
Practice address
5144 Alderbrook PL
Land O Lakes, FL 34638-7644
Phone
(813) 317-7991
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7727 FL
Counselor 101Y00000X MH7727 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2318 FL

Addresses

Primary practice location

5144 Alderbrook PL
Land O Lakes, FL 34638-7644

Mailing address

5144 Alderbrook PL
Land O Lakes, FL 34638-7644
Phone (813) 317-7991

Other names 1

  • Ms. Clarice T Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103001891 FL Practitioner - Mental Health Counselor 4486182490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2318FLMDAddiction (Substance Use Disorder) Counselor
MH7727FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 27, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1851031454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 ALDERBROOK PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387644",
            "telephone_number": "813-317-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 ALDERBROOK PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387644",
            "telephone_number": "813-317-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS ROBERTS",
        "first_name": "CLARICE",
        "name_prefix": "Ms.",
        "credential": "LMHC, CAP, CPP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7727",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH7727",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARICE",
            "last_name": "ROBERTS",
            "middle_name": "T",
            "prefix": "MS.",
            "credential": "LMHC, CAP, CPP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.