Maitri Counseling Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MAITRI COUNSELING CENTER, LLC

Practice address

2990 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3100

Phone

(850) 450-0036

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth M O'Connor, LMHCNPI 1649795469

Title

Owner

Phone

(850) 450-0036

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elizabeth Marie O'Connor, MA, E-RYT

  • Counselor
  • Gulf Breeze, FL
  • NPI 1649795469
  NPD Authorized official

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1528629383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 MEEK ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635529",
            "telephone_number": "850-450-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633100",
            "telephone_number": "850-450-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-450-0036",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jayne Lynch Riggs, PA
• Jean Cozad Lyon, APRN
• Vanesa Macias
• CJ Maclean
• Matthew Christopher Mai, M.D.
• Tera Marie Malarik, LAT, ATC
• Evetha Malcolm-Theriault, RD
• Tiffany Rose Marcum, OTR/L
• Marianne Hazelitt DO Professional Association
• Marshall Mediation & Consultant, Inc.

• Mental Health Counselor in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.