Individual provider Active NPI

Jossie Thurman, MS, RMHCI

  • Counselor
  • Lake Mary, FL
National Provider Identifier
1407562275
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMH23273 Issued in FL
Practice address
3074 W Lake Mary Blvd Ste 132
Lake Mary, FL 32746-6749
Phone
(407) 333-0404
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X IMH23273 FL Primary

Addresses

Primary practice location

3074 W Lake Mary Blvd Ste 132
Lake Mary, FL 32746-6749

Mailing address

414 Mohave Ter
Lake Mary, FL 32746-7009
Phone (407) 455-0529

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH23273FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistika LLC. CurrentSince Feb 26, 2023 Accepting new patients

Locations

3074 W Lake Mary Blvd
Ste 132
Lake Mary, FL 32746
Phone (386) 334-8430

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1407562275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MOHAVE TER",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467009",
            "telephone_number": "407-455-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 W LAKE MARY BLVD STE 132",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466749",
            "telephone_number": "407-333-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "JOSSIE",
        "credential": "MS, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH23273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.