Active NPI
Psychological Fitness Associates, LLC
- Mental Health Counselor
- Panama City Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9752
- Legal business name
- PSYCHOLOGICAL FITNESS ASSOCIATES, LLC
- Practice address
- 21903 Panama City Beach Pkwy
Panama City Beach, FL 32413-3219 - Phone
- (850) 588-7089
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Leticia Freeland Grove, LMHC
- Title
- Counselor
- Phone
- (850) 291-1344
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9752 | FL | Primary |
Addresses
Primary practice location
21903 Panama City Beach Pkwy
Panama City Beach, FL 32413-3219
Mailing address
21903 Panama City Beach Pkwy
Panama City Beach, FL 32413-3219
Phone (850) 588-7089
Other names 1
- PsychFitness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Psychfitness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Panama City Beach, FL
- NPI 1538472485
Locations
9 SW Pack Sq
Ste 204E6
Asheville, NC 28801
Phone (850) 291-1344
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Panama City Beach, FL
- NPI 1841744489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454544000000",
"number": "1295079416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21903 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324133219",
"telephone_number": "850-588-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21903 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324133219",
"telephone_number": "850-588-7089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL FITNESS ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2016-02-04",
"status": "A",
"authorized_official_last_name": "GROVE",
"authorized_official_first_name": "LETICIA",
"authorized_official_middle_name": "FREELAND",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "850-291-1344",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PsychFitness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.