Active NPI
Alysha Palacio
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1972224459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH22763
- Practice address
- 18001 Richmond Place Dr
Tampa, FL 33647-1741 - Phone
- (813) 563-6420
- NPI assigned
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH22763 | FL | Primary |
Addresses
Primary practice location
18001 Richmond Place Dr
Tampa, FL 33647-1741
Mailing address
18001 Richmond Place Dr
Tampa, FL 33647-1741
Phone (813) 563-6420
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 |
|---|---|---|---|
| IMH22763 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1972224459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18001 RICHMOND PLACE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471741",
"telephone_number": "813-563-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18001 RICHMOND PLACE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471741",
"telephone_number": "813-563-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIO",
"first_name": "ALYSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-05",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH22763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.