MARTA GONGORA RICARDO (NPI# 1568913200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568913200 |
| Entity Type | Individual |
| Full Name | MARTA GONGORA RICARDO |
| Practice Address |
2510 1st Ave S St Petersburg FL 33712-1106 |
| Practice Telephone | 7272891164 |
| Practice Fax Number | 8667881127 |
| Mailing Telephone | 7272891164 |
| Mailing Fax Number | 8667881127 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
193200000X | FL | Behavioral Health & Social Service Providers |
| Street Address |
2510 1ST AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215489265 | Seiglinde Proctor | Counselor | 2510 1st Ave S, St Petersburg, FL 33712-1106 | 2016-10-25 |
| 1295172203 | Teresa Riggs | Counselor | 2510 1st Ave S, St Petersburg, FL 33712-1106 | 2013-05-30 |
| 1144667452 | Nathaniel Joel Porter | Counselor | 2510 1st Ave S, St Petersburg, FL 33712-1106 | 2013-05-28 |
| 1326481318 | Ada Ward-timmons | Counselor | 2510 1st Ave S, St Petersburg, FL 33712-1106 | 2013-04-10 |
| 1962741140 | Latoy Mack | Counselor | 2510 1st Ave S, St Petersburg, FL 33712-1106 | 2013-02-07 |
| 1548576499 | Barnes Holistic Counseling Therapy Institute | Counselor | 2510 1st Ave S, St Petersburg, FL 33712-1106 | 2010-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1598364747 | Sara Spiess | Counselor | 447 3rd Ave N Ste 204, St Petersburg, FL 33701-3245 | 2020-10-20 |
| 1669096400 | Bjorn Nagle | Counselor | 111 2nd Ave Ne Ste 1007, St Petersburg, FL 33701-3442 | 2020-06-06 |
| 1225658180 | Holly A Henderson | Counselor | 600 40th St N Apt 208, St Petersburg, FL 33713-6340 | 2020-04-21 |
| 1225657174 | Meaghan Campbell | Counselor | 749 Jasmine Way S, St Petersburg, FL 33705-4744 | 2020-04-10 |
| 1245865294 | Russia Ja'von Collins | Counselor | 833 22nd St S, St Petersburg, FL 33712-2250 | 2020-03-10 |
| 1053959023 | Lynn Stephanie Jackson Dorman | Counselor | 1700 Park St N Ste 110, St Petersburg, FL 33710-4300 | 2019-12-20 |
| 1063985091 | Carleah East | Counselor | 6675 38th Ave N Ste 102, St Petersburg, FL 33710-1534 | 2019-01-02 |
| 1992271167 | Devon Willette | Counselor | 3900 Queen St N, St Petersburg, FL 33714-4644 | 2018-10-16 |
| 1750862017 | Mind Body Wellness Group LLC | Counselor | 735 Arlington Ave N Ste 205, St Petersburg, FL 33701-3653 | 2018-08-24 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
Please comment or provide details below to improve the information on MARTA GONGORA RICARDO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.