Lakewood Ranch Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAKEWOOD RANCH COUNSELING

Practice address

8636 State Road 70 E
Bradenton, FL 34202-3785

Phone

(941) 549-1521

NPI assigned

May 21, 2019

Last updated

May 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Travis Hage, LMHCNPI 1144689977

Title

Single Member Manager

Phone

(941) 549-1521

Specialties & licenses 1

Addresses

Tax ID family

Lakewood Ranch Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakewood Ranch Counseling, LLC.

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1275011231
  NPD tax ID

Practitioners 1

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.

• Travis R. Hage, LMHC

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1144689977
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1699332106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21705 67TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342117089",
            "telephone_number": "941-549-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8636 STATE ROAD 70 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023785",
            "telephone_number": "941-549-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RANCH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "HAGE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "SINGLE MEMBER MANAGER",
        "authorized_official_telephone_number": "941-549-1521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakewood Ambulatory Anesthesia PLLC
• Lakewood Cardiovascular Consultants P a
• Lakewood Dental Excellence, P.a.
• Lakewood Ranch Acupuncture and Wellness
• Lakewood Ranch Chiropractic Inc
• Lakewood Ranch Counseling, LLC.
• Lakewood Ranch Imaging Center
• Lakewood Ranch Medical Center
• Lakewood Ranch Medical Massage, LLC (Mad Science Massage)
• Lakewood Ranch Pediatrics

• Mental Health Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mental Health Counselor in Florida

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