Injury Trauma Counselors

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INJURY TRAUMA COUNSELORS

Practice address

3000 Gulf to Bay Blvd Ste 213
Clearwater, FL 33759-4304

Phone

(310) 864-4216

NPI assigned

Aug 14, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hoban

Title

Registered Agent

Phone

(310) 864-4216

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1811625155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 WIND GAP PL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651743",
            "telephone_number": "310-864-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GULF TO BAY BLVD STE 213",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594304",
            "telephone_number": "310-864-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY TRAUMA COUNSELORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "HOBAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "310-864-4216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber@whitecoatconsulting.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3000 Gulf To Bay Blvd Ste 213",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337594304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.