Individual provider Active NPI

Mercedes Renee Clarke-Wright, LMFT

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1942165592
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MT5379 Issued in FL
Practice address
11806 Bruce B Downs Blvd Ste 1006
Tampa, FL 33612-5542
Phone
(813) 415-7170
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MT5379 FL Primary

Addresses

Primary practice location

11806 Bruce B Downs Blvd Ste 1006
Tampa, FL 33612-5542

Mailing address

11806 Bruce B Downs Blvd Ste 1006
Tampa, FL 33612-5542

Other practice location 1

1602 Oakfield Dr Ste 205
Brandon, FL 33511-0827
Phone (239) 690-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 Metro Pkwy
Fort Myers, FL 33916-7952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT5379FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1942165592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 BRUCE B DOWNS BLVD STE 1006",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11806 BRUCE B DOWNS BLVD STE 1006",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125542",
            "telephone_number": "813-415-7170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Oakfield Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335110827",
            "country_code": "US",
            "telephone_number": "239-690-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE-WRIGHT",
        "first_name": "MERCEDES",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.