Organization Active NPI

Loving Life Therapy

  • Marriage & Family Therapist
  • Tampa, FL
National Provider Identifier
1619213832
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT-1814 Issued in FL
Legal business name
LOVING LIFE THERAPY
Practice address
300 E Madison St
Suite 201
Tampa, FL 33602-4813
Phone
(813) 609-6946
Fax
(813) 609-6946
NPI assigned
Dec 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Yvonka C. De Ridder, PHD, LMFT
Title
Ceo
Phone
(813) 609-6946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X IMT-1814 FL Primary

Addresses

Primary practice location

300 E Madison St
Suite 201
Tampa, FL 33602-4813

Mailing address

300 E Madison St
Suite 201
Tampa, FL 33602-4813
Phone (813) 609-6946

National Provider Directory

National Provider Directory

Locations

300 E Madison St
Ste 201
Tampa, FL 33602
Phone (813) 229-0944

Practitioners & affiliated clinicians

Practitioners 2

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": "1355529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1619213832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MADISON ST",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024813",
            "telephone_number": "813-609-6946",
            "fax_number": "813-609-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MADISON ST",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024813",
            "telephone_number": "813-609-6946",
            "fax_number": "813-609-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-15",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "DE RIDDER",
        "authorized_official_first_name": "YVONKA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-609-6946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT-1814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.