Organization Active NPI

Atalia Fogel-Bobo LMHC PC LLC

  • Mental Health Counselor
  • Lutz, FL
National Provider Identifier
1245593672
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MA8896 Issued in FL
Legal business name
ATALIA FOGEL-BOBO LMHC PC LLC
Practice address
18958 N Dale Mabry Hwy Ste 102
Lutz, FL 33548-4911
Phone
(813) 400-0419
NPI assigned
Jun 20, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Atalia Fogel-Bobo, LMHC, PC
Title
Owner
Phone
(813) 400-0419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MA8896 FL Primary

Addresses

Primary practice location

18958 N Dale Mabry Hwy Ste 102
Lutz, FL 33548-4911

Mailing address

18958 N Dale Mabry Hwy Ste 102
Lutz, FL 33548-4911
Phone (813) 400-0419

National Provider Directory

National Provider Directory
Tax ID family
Atalia Fogel LMHC PC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1245593672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18958 N DALE MABRY HWY STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484911",
            "telephone_number": "813-400-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18958 N DALE MABRY HWY STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484911",
            "telephone_number": "813-400-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATALIA FOGEL-BOBO LMHC PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "FOGEL-BOBO",
        "authorized_official_first_name": "ATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-400-0419",
        "authorized_official_credential": "LMHC, PC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MA8896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.