Organization Active NPI

Lifechanges Holistic Psychotherapy

  • Professional Counselor
  • Safety Harbor, FL
National Provider Identifier
1831554153
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH9249 Issued in FL
Legal business name
LIFECHANGES HOLISTIC PSYCHOTHERAPY
Practice address
160 7TH Ave N
Safety Harbor, FL 34695-3537
Phone
(727) 773-5111
Fax
(727) 791-4954
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Ms. Barbara Ann Brissenden, LMHC
Title
Owner
Phone
(727) 773-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X MH9249 FL Primary

Addresses

Primary practice location

160 7TH Ave N
Safety Harbor, FL 34695-3537

Mailing address

PO Box 63
Safety Harbor, FL 34695-0063
Phone (727) 773-5111

National Provider Directory

National Provider Directory
Tax ID family
Life Changes Holistic Psychotherapyllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1831554153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346950063",
            "telephone_number": "727-773-5111",
            "fax_number": "727-791-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 7TH AVE N",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953537",
            "telephone_number": "727-773-5111",
            "fax_number": "727-791-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHANGES HOLISTIC PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "BRISSENDEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-773-5111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH9249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.