NPIMap

Organization Active NPI

Life Journey Counseling and Consulting, LLC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1679091904
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7519 Issued in FL
Legal business name
LIFE JOURNEY COUNSELING AND CONSULTING, LLC
Practice address
11537 Lake Underhill Rd
Orlando, FL 32825-5001
Phone
(407) 821-3098
NPI assigned
Sep 7, 2017
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Ms. Sherry Stapp Mattos, LMHCNPI 1023283801
Title
Ceo
Phone
(407) 821-3098

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7519 FL Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

11537 Lake Underhill Rd
Orlando, FL 32825-5001

Mailing address

11537 Lake Underhill Rd
Orlando, FL 32825-5001
Phone (407) 821-3098

National Provider Directory

National Provider Directory

Locations

11537 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 821-3098

11537 Lake Underhill Rd
Bldg Ii
Orlando, FL 32825

1299 W Fairbanks Ave
Ste A
Winter Park, FL 32789
Phone (407) 821-3098

Practitioners & affiliated clinicians

Practitioners 12

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": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1679091904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11537 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255001",
            "telephone_number": "407-821-3098",
            "fax_number": "407-821-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11537 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255001",
            "telephone_number": "407-821-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE JOURNEY COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MATTOS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "STAPP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-821-3098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7519",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.