Organization Active NPI

Liminal Journey Counseling LLC

  • Mental Health Counselor
  • Casselberry, FL
National Provider Identifier
1063218964
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIMINAL JOURNEY COUNSELING LLC
Practice address
863 State Road 436 Ste 1001
Casselberry, FL 32707-5359
Phone
(407) 796-8113
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Whitney Lake, LMHCNPI 1538638622
Title
Owner
Phone
(407) 796-8113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

863 State Road 436 Ste 1001
Casselberry, FL 32707-5359

Mailing address

PO Box 887
Geneva, FL 32732-0887
Phone (407) 796-8113

National Provider Directory

National Provider Directory

Locations

863 State Road 436
Casselberry, FL 32707

863 State Road 436
Ste 1001
Casselberry, FL 32707
Phone (407) 796-8113

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": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1063218964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "GENEVA",
            "state": "FL",
            "postal_code": "327320887",
            "telephone_number": "407-796-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 STATE ROAD 436 STE 1001",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075359",
            "telephone_number": "407-796-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMINAL JOURNEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-796-8113",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.