Organization Active NPI

Thomas B. Unsworth P.a.

  • Mental Health Counselor
  • Port Saint Lucie, FL
National Provider Identifier
1033482955
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4732 Issued in FL
Legal business name
THOMAS B. UNSWORTH P.A.
Practice address
6269 NW Gisela St
Port Saint Lucie, FL 34986-3866
Phone
(561) 541-2005
Fax
(772) 879-2077
NPI assigned
Feb 23, 2012
Organization subpart
Yes
Parent organization
THOMAS B. UNSWORTH P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Thomas Brandon Unsworth, LMHCNPI 1912041534
Title
President
Phone
(561) 541-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH4732 FL Primary

Addresses

Primary practice location

6269 NW Gisela St
Port Saint Lucie, FL 34986-3866

Mailing address

451 SW Bethany Dr
Suite 206
Port St Lucie, FL 34986-1964
Phone (561) 541-2005

National Provider Directory

National Provider Directory
Part of
Thomas B Unsworth PA

Locations

451 SW Bethany Dr
Ste 206
Port St Lucie, FL 34986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1033482955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR",
            "address_2": "SUITE 206",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "561-541-2005",
            "fax_number": "772-879-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6269 NW GISELA ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863866",
            "telephone_number": "561-541-2005",
            "fax_number": "772-879-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS B. UNSWORTH P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS B. UNSWORTH P.A.",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "UNSWORTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-541-2005",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.