Organization Active NPI

DSM Problem Solving and Life Skills

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1770967853
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10148 Issued in FL
Legal business name
DSM PROBLEM SOLVING AND LIFE SKILLS
Practice address
219 Allen Ave
Panama City, FL 32401-3288
Phone
(850) 624-5903
Fax
(850) 785-3614
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Mrs. Diane S Marshall, LMHC
Title
Owner
Phone
(850) 624-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH10148 FL Primary

Addresses

Primary practice location

219 Allen Ave
Panama City, FL 32401-3288

Mailing address

219 Allen Ave
Panama City, FL 32401-3288
Phone (850) 624-5903

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1770967853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ALLEN AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013288",
            "telephone_number": "850-624-5903",
            "fax_number": "850-785-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 ALLEN AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013288",
            "telephone_number": "850-624-5903",
            "fax_number": "850-785-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSM PROBLEM SOLVING AND LIFE SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-624-5903",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.