Organization Active NPI

Footprints Counseling

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1285027193
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10771 Issued in FL
Legal business name
FOOTPRINTS COUNSELING
Practice address
7420 Heide Hill Trce
Tallahassee, FL 32312-5213
Phone
(850) 491-4437
Fax
(850) 386-4583
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Lanicia Patrice Marshall, LMHC, ED.S, CAPNPI 1043539315
Title
LMHC, Ed.S, Cap, RPT-S
Phone
(850) 491-4437

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 SINGLE SPECIALTY GROUP 101YM0800X MH10771 FL Primary

Addresses

Primary practice location

7420 Heide Hill Trce
Tallahassee, FL 32312-5213

Mailing address

2014 Delta Blvd
Tallahassee, FL 32303-4853
Phone (850) 491-4437

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.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1285027193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 DELTA BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034853",
            "telephone_number": "850-491-4437",
            "fax_number": "850-386-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 HEIDE HILL TRCE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323125213",
            "telephone_number": "850-491-4437",
            "fax_number": "850-386-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LANICIA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "LMHC, ED.S, CAP, RPT-S",
        "authorized_official_telephone_number": "850-491-4437",
        "authorized_official_credential": "LMHC, ED.S, CAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10771",
            "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 Mar 17, 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.