Theresa Lyvette Lewis, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19401 Issued in FL

Practice address

4111 E Hanna Ave
Tampa, FL 33610-3817

Phone

(813) 833-1215

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1992270953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 E HANNA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336103817",
            "telephone_number": "813-833-1215",
            "fax_number": "813-498-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E HANNA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336103817",
            "telephone_number": "813-833-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THERESA",
        "middle_name": "LYVETTE",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lewis, CBHCMS
• Sherri Lynne Lewis, RD
• Shirell Erica Lewis
• Stephanie Lorraine Chen Lewis, MD
• Stephanie Wickham Lewis, PT, DPT, OCS
• Tracey L Lewis, MD
• Wylordean S Lewis, CDA
• Nahomi Ley Medina
• Lydia Hope Ley, LPN
• Leycare Residential Services

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.