Organization Active NPI

Star Family Therapy LLC

  • Marriage & Family Therapist
  • St Petersburg, FL
National Provider Identifier
1740933555
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
STAR FAMILY THERAPY LLC
Practice address
7901 4TH Street
#5218
St Petersburg, FL 33702
Phone
(305) 791-0288
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Kelly Boyle, LFMTNPI 1124633839
Title
Owner/MBR
Phone
(305) 791-0288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7901 4TH Street
#5218
St Petersburg, FL 33702

Mailing address

7901 4TH Street
#5218
St Petersburg, FL 33702
Phone (408) 596-1615

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1740933555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH STREET",
            "address_2": "#5218",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "408-596-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH STREET",
            "address_2": "#5218",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "305-791-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/MBR",
        "authorized_official_telephone_number": "305-791-0288",
        "authorized_official_credential": "LFMT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 1, 2022; 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.