Carolyne P Cole, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3655 Issued in FL

Practice address

Revolutionary Change Counseling
300 Frandorson Circle #200
Apollo Beach, FL 33572

Phone

(813) 331-7673

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Lake and Associates

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1689528846
  NPD (past)
• Revolutionary Change Counseling LLC

  • Mental Health Counselor
  • Apollo Beach, FL
  • NPI 1811417645
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1295367001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 SUMMIT WEST BLVD APT 27E",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172342",
            "telephone_number": "813-545-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REVOLUTIONARY CHANGE COUNSELING",
            "address_2": "300 FRANDORSON CIRCLE #200",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "33572",
            "telephone_number": "813-331-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CAROLYNE",
        "middle_name": "P",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.