Organization Active NPI

Integrative Counsel PLLC

  • Community/Behavioral Health Agency
  • St Petersburg, FL
National Provider Identifier
1639449531
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH 11004 Issued in FL
Legal business name
INTEGRATIVE COUNSEL PLLC
Doing business as
E Studio
Practice address
11 9TH St S
St Petersburg, FL 33705-1616
Phone
(727) 342-0054
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Ms. Dayna D Wood, NCC, LMHC, REATNPI 1932432150
Title
Owner/Practicioner
Phone
(727) 342-0054

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
Community/Behavioral Health Agency 251S00000X MH 11004 FL Primary

Addresses

Primary practice location

11 9TH St S
St Petersburg, FL 33705-1616

Mailing address

2217 Brevard Rd NE
St. Petersburg
St Petersburg, FL 33704-3541
Phone (727) 342-0054

Other names 1

  • E Studio Doing business as

National Provider Directory

National Provider Directory

Locations

11 Mlk Jr St S
St Petersburg, FL 33705
Phone (727) 342-0054

Practitioners & affiliated clinicians

Practitioners 1

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": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1639449531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 BREVARD RD NE",
            "address_2": "ST. PETERSBURG",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043541",
            "telephone_number": "727-342-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 9TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051616",
            "telephone_number": "727-342-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRACTICIONER",
        "authorized_official_telephone_number": "727-342-0054",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCC, LMHC, REAT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 11004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.