Organization Active NPI

Four Winds Counseling LLC

  • Counselor
  • Tampa, FL
National Provider Identifier
1417514720
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FOUR WINDS COUNSELING LLC
Practice address
611 West Bay Street
Tampa, FL 33606
Phone
(813) 817-2709
Fax
(813) 968-7370
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Ms. Jodi Apollo Desciscio, LMHCNPI 1851688659
Title
Owner
Phone
(813) 817-2709

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 1

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

Addresses

Primary practice location

611 West Bay Street
Tampa, FL 33606

Mailing address

12309 Cloverstone Drive
Tampa, FL 33624
Phone (813) 817-2709

National Provider Directory

National Provider Directory

Locations

611 W Bay St
Tampa, FL 33606
Phone (813) 361-7330

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": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1417514720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 CLOVERSTONE DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33624",
            "telephone_number": "813-817-2709",
            "fax_number": "813-968-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WEST BAY STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33606",
            "telephone_number": "813-817-2709",
            "fax_number": "813-968-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "DESCISCIO",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "APOLLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-817-2709",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.