Healthcare Provider Details

I. General information

NPI: 1235002783
Provider Name (Legal Business Name): KRYSTLE RINBERGER RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N BRADFORD AVE
TAMPA FL
33609-1503
US

IV. Provider business mailing address

315 N BRADFORD AVE
TAMPA FL
33609-1503
US

V. Phone/Fax

Practice location:
  • Phone: 813-503-8880
  • Fax:
Mailing address:
  • Phone: 813-503-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberIMH24969
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberIMH24969
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberIMH24969
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberIMH24969
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMH24969
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberIMH24969
License Number StateFL
# 7
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH24969
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: