NPIMap

Organization Active NPI

Key Life Concepts LLC

  • Community/Behavioral Health Agency
  • Kissimmee, FL
National Provider Identifier
1043581903
Registry record updated Jan 24, 2012
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11085 Issued in FL
Legal business name
KEY LIFE CONCEPTS LLC
Practice address
1433 Brookside Ave
Kissimmee, FL 34744-2708
Phone
(321) 443-8411
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mrs. Carrie Marie Houseman, LMHC
Title
Owner
Phone
(321) 443-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11085 FL Primary

Addresses

Primary practice location

1433 Brookside Ave
Kissimmee, FL 34744-2708

Mailing address

1433 Brookside Ave
Kissimmee, FL 34744-2708
Phone (321) 443-8411

Other names 1

  • Key Life Concepts Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Key Life Concepts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1043581903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 BROOKSIDE AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442708",
            "telephone_number": "321-443-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 BROOKSIDE AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442708",
            "telephone_number": "321-443-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY LIFE CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "HOUSEMAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-443-8411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "11085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Life Concepts",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.