NPIMap

Organization Active NPI

Life Discovery Psychotherapy LLC

  • Mental Health Counselor
  • Brookline, MA
National Provider Identifier
1225424807
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7077 Issued in MA
Legal business name
LIFE DISCOVERY PSYCHOTHERAPY LLC
Practice address
1309 Beacon St
300
Brookline, MA 02446-5271
Phone
(954) 610-2764
NPI assigned
Apr 10, 2015
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Miss Paola Andrea Rodriguez, LMHCNPI 1184816548
Title
Owner - Psychotherapist
Phone
(954) 610-2764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7077 MA Primary

Addresses

Primary practice location

1309 Beacon St
300
Brookline, MA 02446-5271

Mailing address

1309 Beacon St
300
Brookline, MA 02446-5271
Phone (954) 610-2764

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1225424807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BEACON ST",
            "address_2": "300",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465271",
            "telephone_number": "954-610-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BEACON ST",
            "address_2": "300",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465271",
            "telephone_number": "954-610-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DISCOVERY PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER - PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "954-610-2764",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.