Organization Active NPI

Life Discovery Counseling Center

  • Mental Health Counselor
  • Lutz, FL
National Provider Identifier
1528362944
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9814 Issued in FL
Legal business name
LIFE DISCOVERY COUNSELING CENTER
Practice address
18371 Exciting Idlewild Blvd
Lutz, FL 33548
Phone
(813) 264-8771
Fax
(813) 964-8943
NPI assigned
Dec 28, 2010
Last updated
Dec 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Joann Eaton
Title
Office Administrator
Phone
(813) 264-8771

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MT2503 FL
Mental Health Counselor 101YM0800X MH9814 FL Primary
Mental Health Counselor 101YM0800X MH3707 FL
Mental Health Counselor 101YM0800X MT1854 FL

Addresses

Primary practice location

18371 Exciting Idlewild Blvd
Lutz, FL 33548

Mailing address

PO Box 44
Lutz, FL 33548
Phone (813) 264-8771

National Provider Directory

National Provider Directory

Locations

18371 Exciting Idlewild Blvd
Lutz, FL 33548
Phone (813) 264-8771

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1528362944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "813-264-8771",
            "fax_number": "813-964-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18371 EXCITING IDLEWILD BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "813-264-8771",
            "fax_number": "813-964-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DISCOVERY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "813-264-8771"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT2503",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9814",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3707",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT1854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.