Smart Living Coaching Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY8659 Issued in FL

Legal business name

SMART LIVING COACHING SERVICES LLC

Practice address

6050 34TH St W Apt 121
Bradenton, FL 34210-3602

Phone

(480) 323-9742

NPI assigned

Mar 18, 2017

Organization subpart

No

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

Authorized official

Name

Nathan White, PH.D.NPI 1700123536

Title

Owner

Phone

(480) 323-9742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NJ, TX3 enrollments

Enrollment records 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan James White, PH.D.

  • Counseling Psychologist
  • Bradenton, FL
  • NPI 1700123536

  NJ, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1457892895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2062",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342302062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 34TH ST W APT 121",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103602",
            "telephone_number": "480-323-9742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Peppermint Ln",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080462716",
            "country_code": "US",
            "telephone_number": "480-323-9742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMART LIVING COACHING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-323-9742",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.