Angie Speller, LMHC, PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANGIE SPELLER, LMHC, PA

Doing business as

Enso Behavioral Healthcare

Practice address

4613 W North a St
Tampa, FL 33609-1909

Phone

(727) 386-6495

NPI assigned

Jul 24, 2015

Last updated

Jul 24, 2015By 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

Angie Speller, LMHC

Title

Owner

Phone

(727) 386-6495

Specialties & licenses 2

Addresses

Other names 1

• Enso Behavioral Healthcare Doing business as

Locations

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1710362397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 W NORTH A ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091909",
            "telephone_number": "727-386-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 W NORTH A ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091909",
            "telephone_number": "727-386-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE SPELLER, LMHC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "SPELLER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-386-6495",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enso Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Tampa, FL
• Providers in Tampa, 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 Jul 24, 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.