NPIMap

Organization Active NPI

Boundless Living Coaching Counseling & Consulting

Doing business as The NOIR Center for Intuitive Healing & Counseling

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1093302747
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BOUNDLESS LIVING COACHING COUNSELING & CONSULTING
Doing business as
The NOIR Center for Intuitive Healing & Counseling
Practice address
1964 Howell Branch Rd Ste 110
Winter Park, FL 32792-1042
Phone
(561) 315-5939
NPI assigned
Dec 29, 2020
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Cortina D Peters, LMHC, LPCNPI 1285925578
Title
Owner
Phone
(561) 315-5939

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1964 Howell Branch Rd Ste 110
Winter Park, FL 32792-1042

Mailing address

1964 Howell Branch Rd Ste 110
Winter Park, FL 32792-1042
Phone (561) 315-5939

Other identifiers 1

IdentifierTypeStateIssuer
1285925578MedicaidFL

Other names 2

  • The NOIR Center for Intuitive Healing & Counseling Doing business as
  • Boundless Living Coaching Counseling & Consulting, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@iamcortinapeters.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1964 Howell Branch Rd
Ste 110
Winter Park, FL 32792
Phone (407) 951-4207

2431 Aloma Ave
#236
Winter Park, FL 32792

Practitioners & affiliated clinicians

Practitioners 2

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": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1093302747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "561-315-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "561-315-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS LIVING COACHING COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "CORTINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-315-5939",
        "authorized_official_credential": "LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285925578",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@iamcortinapeters.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2431 Aloma Ave # 236",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327922541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The NOIR Center for Intuitive Healing & Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boundless Living Coaching Counseling & Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.