Organization Active NPI

Pamper Your Mind, LLC

  • Mental Health Counselor
  • Indian Harbour Beach, FL
National Provider Identifier
1770837759
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9900 Issued in FL
Legal business name
PAMPER YOUR MIND, LLC
Practice address
2020 Hwy A1A
Suite 104
Indian Harbour Beach, FL 32937-3581
Phone
(321) 543-2087
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Mrs. Kristin Woodling, MA
Title
LMHC
Phone
(321) 543-2087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH9900 FL Primary

Addresses

Primary practice location

2020 Hwy A1A
Suite 104
Indian Harbour Beach, FL 32937-3581

Mailing address

2020 Hwy A1A
Suite 104
Indian Harbour Beach, FL 32937-3581
Phone (321) 543-2087

National Provider Directory

National Provider Directory

Locations

2020 Highway A1A
Ste 104
Indian Harbour Beach, FL 32937
Phone (321) 543-2087

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1770837759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HWY A1A",
            "address_2": "SUITE 104",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373581",
            "telephone_number": "321-543-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HWY A1A",
            "address_2": "SUITE 104",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373581",
            "telephone_number": "321-543-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMPER YOUR MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "WOODLING",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "321-543-2087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.