Active NPI
Lawrence Devine
- Mental Health Counselor
- Pompano Beach, FL
National Provider Identifier
1053786541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH 6709
- Practice address
- 817 N Dixie Hwy
Pompano Beach, FL 33060-5621 - Phone
- (954) 785-8285
- Fax
- (954) 928-0040
- NPI assigned
- Dec 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH 6709 | FL | Primary |
Addresses
Primary practice location
817 N Dixie Hwy
Pompano Beach, FL 33060-5621
Mailing address
3788 Turtle Run Blvd
Apt 2232
Coral Springs, FL 33067
Phone (786) 368-9159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 6709 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1053786541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3788 TURTLE RUN BLVD",
"address_2": "APT 2232",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33067",
"telephone_number": "786-368-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 N DIXIE HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330605621",
"telephone_number": "954-785-8285",
"fax_number": "954-928-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "LAWRENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH 6709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.