Organization Active NPI

Liberated Mind Counseling LLC

  • Counselor
  • St Petersburg, FL
National Provider Identifier
1528631629
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LIBERATED MIND COUNSELING LLC
Practice address
447 3Rd Ave N Ste 310
Saint Petersburg, FL 33701-3245
Phone
(727) 451-9281
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Branden Richard Barnett, LMHC-SNPI 1902141955
Title
Owner/Counselor
Phone
(727) 451-9281

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

447 3Rd Ave N Ste 310
Saint Petersburg, FL 33701-3245

Mailing address

447 3Rd Ave N Ste 310
Saint Petersburg, FL 33701-3245
Phone (727) 451-9281

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://liberatedmindcounseling.com/contact-branden Direct

National Provider Directory

National Provider Directory

Locations

447 3rd Ave N
Ste 310
Saint Petersburg, FL 33701
Phone (727) 451-9281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1528631629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 3RD AVE N STE 310",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013245",
            "telephone_number": "727-451-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 3RD AVE N STE 310",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013245",
            "telephone_number": "727-451-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATED MIND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "727-451-9281",
        "authorized_official_credential": "LMHC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://liberatedmindcounseling.com/contact-branden",
            "affiliation": "N",
            "endpointDescription": "Secure Contact Method on website encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "447 3rd Ave N Ste 310",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337013245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.