Organization Active NPI

Lynn Etherapy, PLLC

  • Mental Health Counselor
  • Ft. Lauderdale, FL
National Provider Identifier
1457069205
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LYNN ETHERAPY, PLLC
Practice address
300 SE 2ND St
Suite 600
Ft. Lauderdale, FL 33301
Phone
(954) 281-2647
NPI assigned
Nov 10, 2022
Organization subpart
Yes
Parent organization
TAMYRA VILLINESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Genna Rich
Title
Admin
Phone
(813) 715-9802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

300 SE 2ND St
Suite 600
Ft. Lauderdale, FL 33301

Mailing address

5079 N Dixie Hwy Ste 276
Oakland Park, FL 33334-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@lynnetherapypllc.com

National Provider Directory

National Provider Directory
Part of
Lynn Etherapy PLLC

Interoperability endpoints

  • Direct secure messaging: info@lynnetherapypllc.com

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1457069205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5079 N DIXIE HWY STE 276",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST",
            "address_2": "SUITE 600",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33301",
            "telephone_number": "954-281-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN ETHERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMYRA VILLINES",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "GENNA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "813-715-9802"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@lynnetherapypllc.com",
            "affiliation": "N",
            "address_1": "5079 N Dixie Hwy Ste 276",
            "city": "Oakland Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333344000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ft. Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.