NPIMap

Organization Active NPI

Pensacola Therapy Services, LLC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1346605086
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 13864 Issued in FL
Legal business name
PENSACOLA THERAPY SERVICES, LLC
Practice address
4300 Bayou Blvd
Suite 21
Pensacola, FL 32503-1949
Phone
(850) 418-4990
NPI assigned
Dec 23, 2015
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Eileen Wolfe, LMHCNPI 1093172207
Title
Owner/Therapist
Phone
(850) 418-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 13864 FL Primary

Addresses

Primary practice location

4300 Bayou Blvd
Suite 21
Pensacola, FL 32503-1949

Mailing address

4300 Bayou Blvd
Suite 21
Pensacola, FL 32503-1949
Phone (850) 418-4990

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1346605086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD",
            "address_2": "SUITE 21",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031949",
            "telephone_number": "850-418-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD",
            "address_2": "SUITE 21",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031949",
            "telephone_number": "850-418-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "850-418-4990",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.