Organization Active NPI

Strong Living Professional Counseling, PLLC

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1629646484
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 28, 2021

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1689864407OtherNPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.