Organization Active NPI

Simple Life Health Center, LLC

  • Mental Health Counselor
  • Cape Coral, FL
National Provider Identifier
1497341887
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SIMPLE LIFE HEALTH CENTER, LLC
Practice address
4206 Del Prado Blvd S
Cape Coral, FL 33904-7154
Phone
(561) 385-4212
NPI assigned
Dec 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Authorized official

Name
Simone Monaco
Title
Member
Phone
(561) 385-4212

Specialties & licenses 1

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

Addresses

Primary practice location

4206 Del Prado Blvd S
Cape Coral, FL 33904-7154

Mailing address

4206 Del Prado Blvd S
Cape Coral, FL 33904-7154
Phone (561) 385-4212

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplelifehealthcenter@gmail.com

National Provider Directory

National Provider Directory

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": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608336000000",
    "number": "1497341887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047154",
            "telephone_number": "561-385-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047154",
            "telephone_number": "561-385-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE LIFE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "MONACO",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-385-4212"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplelifehealthcenter@gmail.com",
            "affiliation": "N",
            "address_1": "4206 Del Prado Blvd S",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339047154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

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