NPIMap

Organization Active NPI

Enriched Life Counseling & Consulting, LLC

  • Mental Health Counselor
  • Oviedo, FL
National Provider Identifier
1629625066
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ENRICHED LIFE COUNSELING & CONSULTING, LLC
Practice address
870 Clark St Ste 1030
Oviedo, FL 32765-9270
Phone
(407) 593-4500
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Dr. Treshonda Baucom, EDD, LMHCNPI 1396205969
Title
Owner
Phone
(407) 593-4500

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

870 Clark St Ste 1030
Oviedo, FL 32765-9270

Mailing address

870 Clark St Ste 1030
Oviedo, FL 32765-9270
Phone (407) 593-4500

National Provider Directory

National Provider Directory

Locations

1795 E Highway 50
#B
Clermont, FL 34711
Phone (407) 593-4500

Practitioners & affiliated clinicians

Practitioners 6

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": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1629625066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLARK ST STE 1030",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-593-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLARK ST STE 1030",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-593-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHED LIFE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "BAUCOM",
        "authorized_official_first_name": "TRESHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-593-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.