NPIMap

Organization Active NPI

Personal Enrichment for Mental Health Services, Inc.

  • Mental Health Counselor
  • Largo, FL
National Provider Identifier
1083779375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PERSONAL ENRICHMENT FOR MENTAL HEALTH SERVICES, INC.
Practice address
1614 Palm Way
Largo, FL 33771-3926
Phone
(727) 545-6477
Fax
(727) 538-7283
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jo M Watson
Title
Billing Specialist
Phone
(727) 545-6477

Specialties & licenses 1

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

Addresses

Primary practice location

1614 Palm Way
Largo, FL 33771-3926

Mailing address

1614 Palm Way
Largo, FL 33771-3926
Phone (727) 545-6477

Other names 1

  • PEMHS, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personal Enrichment for Mental Health Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083779375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 PALM WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713926",
            "telephone_number": "727-545-6477",
            "fax_number": "727-538-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 PALM WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713926",
            "telephone_number": "727-545-6477",
            "fax_number": "727-538-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ENRICHMENT FOR MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING  SPECIALIST",
        "authorized_official_telephone_number": "727-545-6477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMHS, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.