Active NPI
Stacey Leigh Rhoades
- Professional Counselor
- Saint Petersburg, FL
National Provider Identifier
1912259227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 533
- Practice address
- 3500 39TH St N
Saint Petersburg, FL 33713-1341 - Phone
- (727) 418-1621
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 533 | WY | Primary |
| Professional Counselor | 101YP2500X | 303 | KS |
Addresses
Primary practice location
3500 39TH St N
Saint Petersburg, FL 33713-1341
Mailing address
3500 39TH St N
Saint Petersburg, FL 33713-1341
Phone (727) 418-1621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 303 | KS | MD | Marriage & Family Therapist |
| 533 | WY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1912259227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 39TH ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337131341",
"telephone_number": "727-418-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 39TH ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337131341",
"telephone_number": "727-418-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADES",
"first_name": "STACEY",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "533",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.