NPIMap

Organization Active NPI

Life Changes Holistic Psychotherapyllc

  • Mental Health Counselor
  • Clearwater, FL
National Provider Identifier
1366725061
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9249 Issued in FL
Legal business name
LIFE CHANGES HOLISTIC PSYCHOTHERAPYLLC
Practice address
2329 Sunset Point Rd
Suite 203
Clearwater, FL 33765-1455
Phone
(727) 699-3911
Fax
(727) 669-3813
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Barbara A Brissenden, LMHC
Title
Sole Proprietor
Phone
(727) 669-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9249 FL Primary

Addresses

Primary practice location

2329 Sunset Point Rd
Suite 203
Clearwater, FL 33765-1455

Mailing address

2329 Sunset Point Rd
Suite 203
Clearwater, FL 33765-1455
Phone (727) 699-3911

Other identifiers 1

IdentifierTypeStateIssuer
MH9249OtherFLLICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Life Changes Holistic Psychotherapyllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1366725061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-699-3911",
            "fax_number": "727-669-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-699-3911",
            "fax_number": "727-669-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES HOLISTIC PSYCHOTHERAPYLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "BRISSENDEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "727-669-3911",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MH9249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.