Envisionaire Counseling Coaching & Consulting

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ENVISIONAIRE COUNSELING COACHING & CONSULTING

Practice address

522 Oakfield Dr
Brandon, FL 33511-5743

Phone

(813) 720-5191

NPI assigned

May 20, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matietha Destin, LMFT

Title

Owner/Operator

Phone

(813) 720-5191

Specialties & licenses 1

Addresses

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.

• Marietha Destin, LMFT

  • Counselor
  • Brandon, FL
  • NPI 1811295959

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1114766300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335950145",
            "telephone_number": "813-720-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115743",
            "telephone_number": "813-720-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONAIRE COUNSELING COACHING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "DESTIN",
        "authorized_official_first_name": "MATIETHA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "813-720-5191",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enloe Bruce Billingsley LCSW PA
• Christine Enos, MS CCC-SLP
• Gisela Enriquez
• Julio A Enriquez, MD
• Pedro M Enriquez, M.D.
• Gloria Marie Epps
• Donna Erdman
• Erica Willer Psychotherapy, LLC
• Camellia Annie Erickson, OTR/L
• Dawn M Ericsson, M.D.

• Marriage & Family Therapist in Brandon, FL
• Providers in Brandon, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.