PERSONAL GROWTH THERAPY CENTER LLC
NPI 1790423564
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tampa, FL
About Personal Growth Therapy Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERSONAL GROWTH THERAPY CENTER LLC (NPI 1790423564) is a healthcare organization registered as a mental health (including community mental health center) in Tampa, Florida and active in the NPI registry since May 2022. The organization lists Paola Holguin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Personal Growth Therapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Personal Growth Therapy Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Personal Growth Therapy Center LLC's NPI number?
The NPI number for Personal Growth Therapy Center LLC is 1790423564. It was assigned to this organization in the NPPES registry on May 23, 2022.
Where is Personal Growth Therapy Center LLC located?
Personal Growth Therapy Center LLC is located at 7709 Jackson Springs Rd, Tampa, FL 33615. The listed phone number is (813) 390-9642.
What is Personal Growth Therapy Center LLC'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 Personal Growth Therapy Center LLC enrolled in Medicare?
Yes. Personal Growth Therapy Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Personal Growth Therapy Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Personal Growth Therapy Center LLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Personal Growth Therapy Center LLC was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Personal Growth Therapy Center Llc · NPI 1790423564
Mental Health (Including Community Mental Health Center) organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1790423564 (Entity type: Organization)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Paola Holguin, OWNER
## Practice location
- **Address:** 7709 JACKSON SPRINGS RD, Tampa, FL 33615-3417
- **Phone:** (813) 390-9642
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790423564) · Data from the CMS NPPES public registry.