Organization Active NPI

Amigo Art Therapy, PLLC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1124876305
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AMIGO ART THERAPY, PLLC
Practice address
7901 4TH St N Ste 15102
St Petersburg, FL 33702-4305
Phone
(917) 818-2466
NPI assigned
May 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Lauren AmigoNPI 1740881663
Title
Ceo, LMHC, Lcat
Phone
(305) 343-2310

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

7901 4TH St N Ste 15102
St Petersburg, FL 33702-4305

Mailing address

7901 4TH St N Ste 15102
St Petersburg, FL 33702-4305

Other practice location 1

418 Broadway Ste 4242
Albany, NY 12207-2922
Phone (917) 818-2466

National Provider Directory

National Provider Directory

Locations

418 Broadway
Ste 4242
Albany, NY 12207
Phone (917) 818-2466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1124876305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 15102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 15102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "917-818-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Broadway Ste 4242",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122072922",
            "country_code": "US",
            "telephone_number": "917-818-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMIGO ART THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "AMIGO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO, LMHC, LCAT",
        "authorized_official_telephone_number": "305-343-2310"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.