Organization Active NPI

Lifecore Inc

  • Mental Health Counselor
  • Miami Shores, FL
National Provider Identifier
1215352174
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10068 Issued in FL
Legal business name
LIFECORE INC
Practice address
9526 NE 2ND Ave
Suite 202F
Miami Shores, FL 33138-2750
Phone
(305) 396-6360
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Lauren Elizabeth Sonnenberg, LMHC, D.PSC, CAPNPI 1134398605
Title
President/Owner
Phone
(305) 396-6360

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH10068 FL Primary

Addresses

Primary practice location

9526 NE 2ND Ave
Suite 202F
Miami Shores, FL 33138-2750

Mailing address

9526 NE 2ND Ave
Suite 202F
Miami Shores, FL 33138-2750
Phone (305) 396-6360

National Provider Directory

National Provider Directory

Locations

9526 NE 2nd Ave
Ste 202F
Miami Shores, FL 33138
Phone (305) 396-6360

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": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1215352174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "SUITE 202F",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-396-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "SUITE 202F",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-396-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "SONNENBERG",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-396-6360",
        "authorized_official_credential": "LMHC, D.PSC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.