NPIMap

Organization Active NPI

Mindful Change Dba Tri-County Counseling and Life Skills

  • Mental Health Counselor
  • North Port, FL
National Provider Identifier
1578462248
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL CHANGE DBA TRI-COUNTY COUNSELING AND LIFE SKILLS
Doing business as
Mindful change DBA Tri-County Counseling and Life Skills
Practice address
5400 S Biscayne Dr Ste B
North Port, FL 34287-1932
Phone
(941) 876-3060
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Charlton Cerbone, DBH LMHC MCAPNPI 1902201858
Title
Ceo
Phone
(941) 539-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5400 S Biscayne Dr Ste B
North Port, FL 34287-1932

Mailing address

5400 S Biscayne Dr Ste B
North Port, FL 34287-1932
Phone (941) 876-3060

Other practice location 1

4055 Tamiami Trl Unit 45
Port Charlotte, FL 33952-9212
Phone (941) 876-3060

Other names 1

  • Mindful change DBA Tri-County Counseling and Life Skills Doing business as

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": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1578462248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "941-876-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "941-876-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Tamiami Trl Unit 45",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339529212",
            "country_code": "US",
            "telephone_number": "941-876-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL CHANGE DBA TRI-COUNTY COUNSELING AND LIFE SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-01",
        "status": "A",
        "authorized_official_last_name": "CERBONE",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-539-3166",
        "authorized_official_credential": "DBH LMHC MCAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful change DBA Tri-County Counseling and Life Skills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.