Organization Active NPI

Fresh Start Therapy Services, LLC

  • Counselor
  • Orlando, FL
National Provider Identifier
1316357726
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SW11509 Issued in FL
Legal business name
FRESH START THERAPY SERVICES, LLC
Practice address
1417 N Semoran Blvd Ste 201
Orlando, FL 32807-3555
Phone
(407) 099-5164
NPI assigned
May 7, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Lisa Spindle, LCSW
Title
Owner
Phone
(407) 900-5164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X SW11509 FL Primary

Addresses

Primary practice location

1417 N Semoran Blvd Ste 201
Orlando, FL 32807-3555

Mailing address

650 N Alafaya TRL
Ste 101 # 782409
Orlando, FL 32878-7501
Phone (407) 900-5164

National Provider Directory

National Provider Directory

Locations

1417 N Semoran Blvd
Ste 201
Orlando, FL 32807
Phone (407) 766-1799

650 N Alafaya Trl
Ste 101
Orlando, FL 32828
Phone (407) 204-9163

650 N Alafaya Trl
Unit 782409
Orlando, FL 32878

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1316357726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ALAFAYA TRL",
            "address_2": "STE 101 # 782409",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328787501",
            "telephone_number": "407-900-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N SEMORAN BLVD STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073555",
            "telephone_number": "407-099-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "SPINDLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-900-5164",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW11509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.