ST. PETE - PRIMARY CARE
NPI 1114295680
Clinic/Center - Mental Health (Including Community Mental Health Center) in St Petersburg, FL
About St. Pete - Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. PETE - PRIMARY CARE (NPI 1114295680) is a healthcare organization registered as a mental health (including community mental health center) in St Petersburg, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Lynda Gorken, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Pete - Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
221Medicare enrollment records show 221 clinicians reassign Medicare billing to St. Pete - Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 221Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2275041
Baycare Behavioral Health, Inc · Saint Petersburg, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Baycare Behavioral Health Inc.'s NPI number?
The NPI number for Baycare Behavioral Health Inc. is 1114295680. It was assigned to this organization in the NPPES registry on December 12, 2011. The provider is also known as St. Pete - Primary Care.
Where is Baycare Behavioral Health Inc. located?
Baycare Behavioral Health Inc. is located at 560 Jackson St N Ste 302, St Petersburg, FL 33705. The listed phone number is (727) 820-7701.
What is Baycare Behavioral Health Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Baycare Behavioral Health Inc. enrolled in Medicare?
Yes. Baycare Behavioral Health Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Baycare Behavioral Health Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 221 clinicians in 6 Medicare specialties reassign their Medicare billing to Baycare Behavioral Health Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (89), Clinical Social Worker (53) and Mental Health Counselor (43). Of these, 2 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Baycare Behavioral Health Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2275041) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Baycare Behavioral Health Inc. accept?
Health plans from Molina Healthcare list Baycare Behavioral Health Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Baycare Behavioral Health Inc. was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St. Pete - Primary Care · NPI 1114295680
Mental Health (Including Community Mental Health Center) organization in St Petersburg, Florida. Organization record, active in the CMS NPPES registry since December 12, 2011.
## Identity
- **NPI:** 1114295680 (Entity type: Organization)
- **Enumerated:** December 12, 2011
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Baycare Behavioral Health Inc.
- **Organization subpart:** No
- **Authorized official:** Lynda Gorken, VICE PRESIDENT
## Practice location
- **Address:** 560 JACKSON ST N STE 302, St Petersburg, FL 33705-1449
- **Phone:** (727) 820-7701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 221 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (89), Clinical Social Worker (53), Mental Health Counselor (43); 2 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1114295680/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2020
- **Other identifiers:** Medicaid 060297319 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114295680) · Data from the CMS NPPES public registry.