Individual provider Active NPI

Lauren Troncoso West, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
National Provider Identifier
1356078158
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4421 Issued in FL
Practice address
1138 Edgewood Ave S
Jacksonville, FL 32205-5369
Phone
(352) 389-1920
NPI assigned
Aug 2, 2022
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4421 FL Primary

Addresses

Primary practice location

1138 Edgewood Ave S
Jacksonville, FL 32205-5369

Mailing address

13444 Gran Bay Pkwy Apt 720
Jacksonville, FL 32258-7425
Phone (954) 707-1269

Other practice location 1

4703 NW 53rd Ave Ste A2
Gainesville, FL 32653-3403
Phone (352) 332-6131

Other practice location 2

13444 Gran Bay Pkwy Apt 720
Jacksonville, FL 32258-7425
Phone (954) 707-1269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT4421FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1356078158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13444 GRAN BAY PKWY APT 720",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587425",
            "telephone_number": "954-707-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055369",
            "telephone_number": "352-389-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4703 NW 53rd Ave Ste A2",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326533403",
            "country_code": "US",
            "telephone_number": "352-332-6131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13444 Gran Bay Pkwy Apt 720",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587425",
            "country_code": "US",
            "telephone_number": "954-707-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "LAUREN",
        "middle_name": "TRONCOSO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.