Organization Active NPI

Blue Lotus Counseling and Holistic Wellness, LLC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1235659616
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLUE LOTUS COUNSELING AND HOLISTIC WELLNESS, LLC
Practice address
336 E College Ave Ste 200
Tallahassee, FL 32301-1559
Phone
(850) 491-6920
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
Yolanda Smith-Ervin
Title
Manager
Phone
(850) 228-9861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

336 E College Ave Ste 200
Tallahassee, FL 32301-1559

Mailing address

336 E College Ave Ste 200
Tallahassee, FL 32301-1559

National Provider Directory

National Provider Directory

Locations

336 E College Ave
Ste 200
Tallahassee, FL 32301
Phone (850) 491-6920

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": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1235659616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 E COLLEGE AVE STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E COLLEGE AVE STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011559",
            "telephone_number": "850-491-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LOTUS COUNSELING AND HOLISTIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "SMITH-ERVIN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-228-9861"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.