Organization Active NPI

Free Your Mind Counseling Services, LLC

  • Mental Health Counselor
  • Osprey, FL
National Provider Identifier
1760877252
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREE YOUR MIND COUNSELING SERVICES, LLC
Practice address
2111 S Tamiami TRL
Osprey, FL 34229-9668
Phone
(941) 451-7396
Fax
(941) 343-2913
NPI assigned
Apr 1, 2015
Last updated
Apr 1, 2015By the provider in NPPES
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
Mrs. Grace Marie Moran, MA, LMHC, CVRSNPI 1437414471
Title
Owner/Therapist
Phone
(941) 451-7396

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2111 S Tamiami TRL
Osprey, FL 34229-9668

Mailing address

2111 S Tamiami TRL
Osprey, FL 34229-9668
Phone (941) 451-7396

National Provider Directory

National Provider Directory

Locations

2111 S Tamiami Trl
Osprey, FL 34229
Phone (941) 451-7396

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": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1760877252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299668",
            "telephone_number": "941-451-7396",
            "fax_number": "941-343-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299668",
            "telephone_number": "941-451-7396",
            "fax_number": "941-343-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE YOUR MIND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "941-451-7396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHC, CVRS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, 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.