Nicholas Landry

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13583 Issued in FL

Practice address

8401 Lake Worth Rd Ste 209
Lake Worth, FL 33467-2400

Phone

(954) 292-9858

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Landry Therapy and Wellness

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1639890221
  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1407342587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7846 ROCKPORT CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 LAKE WORTH RD STE 209",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672400",
            "telephone_number": "954-292-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Robert Lamperski, D.C.
• Jenefer Dawn Lamson, MFT
• Susan B Lander, LCSW
• Alfredo J Landron-Romero, BEHAVIORAL ANALYST
• Brenna Clark Landrum, P.T.
• Christina Lane
• Rissa Noelle Lane
• Language Learning Intervention & Professional Speech Services, Inc.
• Hans Enrique Lapica, MD
• Kevin Howard Lapoff, D.P.M.

• Mental Health Counselor in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.