Organization Active NPI

Nizammah Ward, LLC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1235837592
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NIZAMMAH WARD, LLC
Practice address
3530 1St Ave N Ste 205
St Petersburg, FL 33713-8442
Phone
(727) 351-3251
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Nizammah WardNPI 1295087229
Title
Ceo
Phone
(727) 351-3251

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 MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3530 1St Ave N Ste 205
St Petersburg, FL 33713-8442

Mailing address

5500 Dr Martin Luther King Jr St S
Saint Petersburg, FL 33705-5139
Phone (727) 455-2511

Other names 1

  • Pleasantly Balanced Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3530 1st Ave N
Ste 205
St Petersburg, FL 33713
Phone (727) 351-3251

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1235837592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DR MARTIN LUTHER KING JR ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337055139",
            "telephone_number": "727-455-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 1ST AVE N STE 205",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138442",
            "telephone_number": "727-351-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIZAMMAH WARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "NIZAMMAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-351-3251"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasantly Balanced Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 16, 2023; 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.