Active NPI
Strong Living Professional Counseling, PLLC
- Clinical Social Worker
- Jupiter, FL
National Provider Identifier
1629646484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- STRONG LIVING PROFESSIONAL COUNSELING, PLLC
- Practice address
- 145 Seagrape Dr Apt 105
Jupiter, FL 33458-7893 - Phone
- (512) 694-8877
- NPI assigned
- Jun 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gwen B Hawley
- Title
- Managing Member
- Phone
- (512) 694-8877
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
145 Seagrape Dr Apt 105
Jupiter, FL 33458-7893
Mailing address
145 Seagrape Dr Apt 105
Jupiter, FL 33458-7893
Phone (512) 694-8877
Other practice location 1
4131 Spicewood Springs Rd Ste M2
Austin, TX 78759-8652
Phone (512) 694-8877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689864407 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
4131 Spicewood Springs Rd
Ste M2
Austin, TX 78759
Phone (512) 217-8121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1629646484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SEAGRAPE DR APT 105",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587893",
"telephone_number": "512-694-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SEAGRAPE DR APT 105",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587893",
"telephone_number": "512-694-8877"
}
],
"practiceLocations": [
{
"address_1": "4131 Spicewood Springs Rd Ste M2",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787598652",
"country_code": "US",
"telephone_number": "512-694-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STRONG LIVING PROFESSIONAL COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "HAWLEY",
"authorized_official_first_name": "GWEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "512-694-8877"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1689864407",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.