Individual provider Active NPI

Letty Owuor, PSY.D.

  • Mental Health Counselor
  • Port Saint Lucie, FL
National Provider Identifier
1265703862
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
525 NW Lake Whitney PL
Suite. 102 &103
Port Saint Lucie, FL 34986-1605
Phone
(772) 337-8164
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

525 NW Lake Whitney PL
Suite. 102 &103
Port Saint Lucie, FL 34986-1605

Mailing address

151 SW Palm Dr Apt 304
Port Saint Lucie, FL 34986-1795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1265703862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SW PALM DR APT 304",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NW LAKE WHITNEY PL",
            "address_2": "SUITE. 102 &103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861605",
            "telephone_number": "772-337-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUOR",
        "first_name": "LETTY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.