Organization Active NPI

Heart and Mind Wellness LLC

  • Marriage & Family Therapist
  • Saint Petersburg, FL
National Provider Identifier
1467055780
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
HEART AND MIND WELLNESS LLC
Practice address
3959 52ND Ave N
Saint Petersburg, FL 33714-2336
Phone
(815) 260-9399
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Ms. Krystian Sarkady, LMFTNPI 1316323827
Title
Owner
Phone
(815) 260-9399

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3959 52ND Ave N
Saint Petersburg, FL 33714-2336

Mailing address

5447 Haines Rd N Ste 193
Saint Petersburg, FL 33714-1954
Phone (815) 260-9399

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Krys@heartandmindwellness.com

National Provider Directory

National Provider Directory

Locations

5447 Haines Rd N
Saint Petersburg, FL 33714

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": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1467055780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 HAINES RD N STE 193",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337141954",
            "telephone_number": "815-260-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 52ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337142336",
            "telephone_number": "815-260-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND MIND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "SARKADY",
        "authorized_official_first_name": "KRYSTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-260-9399",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Krys@heartandmindwellness.com",
            "affiliation": "N",
            "address_1": "3959 52nd Ave N",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337142336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.