Organization Active NPI

Progressive Minds Therapy

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1376311316
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROGRESSIVE MINDS THERAPY
Practice address
4210 Burtonwood Dr
Pensacola, FL 32514-8013
Phone
(850) 480-9314
NPI assigned
Dec 19, 2023
Organization subpart
Yes
Parent organization
MICHELLE LAWRENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Michelle M Lawrence, LMHC, MCAPNPI 1023479078
Title
Clinician
Phone
(850) 480-9314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4210 Burtonwood Dr
Pensacola, FL 32514-8013

Mailing address

120 Chiefs Way Ste 1
Pensacola, FL 32507-1100
Phone (850) 480-9314

Other names 1

  • Board for Licensed Professionals Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1376311316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHIEFS WAY STE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071100",
            "telephone_number": "850-480-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 BURTONWOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325148013",
            "telephone_number": "850-480-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MINDS THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHELLE LAWRENCE",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "850-480-9314",
        "authorized_official_credential": "LMHC, MCAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Board for Licensed Professionals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 19, 2023; 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.