Organization Active NPI

Trinity Living Life LLC

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1174372502
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TRINITY LIVING LIFE LLC
Doing business as
Trinity Living Life LLC
Practice address
5401 S Kirkman Rd # 338
Orlando, FL 32819-7940
Phone
(321) 340-1181
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Mrs. Veronica L Dickens, LMFTNPI 1922465228
Title
Owner/Ceo
Phone
(321) 340-1181

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5401 S Kirkman Rd # 338
Orlando, FL 32819-7940

Mailing address

4821 Sanoma VLG
Orlando, FL 32808-1231
Phone (407) 879-7028

Other names 1

  • Trinity Living Life LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404001783 FL Part B Supplier - Clinic/Group Practice 2668996208 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

5401 S Kirkman Rd
#338
Orlando, FL 32819
Phone (321) 340-1181

5401 S Kirkman Rd
Ste 338
Orlando, FL 32819
Phone (321) 340-1181

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": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1174372502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 SANOMA VLG",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081231",
            "telephone_number": "407-879-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD # 338",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197940",
            "telephone_number": "321-340-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY LIVING LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "321-340-1181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Living Life LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.