NPIMap

Organization Active NPI

Your Story Counseling and Wellness LLC

  • Adult Mental Health Clinic/Center
  • Tampa, FL
National Provider Identifier
1881297166
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
YOUR STORY COUNSELING AND WELLNESS LLC
Practice address
707 E Patterson St
Tampa, FL 33604-4220
Phone
(814) 397-9910
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Ricque L Greer, MS, LMHC, LPCNPI 1386188464
Title
Owner/Therapist
Phone
(814) 397-9910

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

707 E Patterson St
Tampa, FL 33604-4220

Mailing address

PO Box 8885
Tampa, FL 33674-8885
Phone (814) 397-9910

Other identifiers 1

IdentifierTypeStateIssuer
1386188464OtherNPI 1

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ricque@your-story-counseling.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1881297166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8885",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336748885",
            "telephone_number": "814-397-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E PATTERSON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336044220",
            "telephone_number": "814-397-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR STORY COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "RICQUE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "814-397-9910",
        "authorized_official_credential": "MS, LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1386188464",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ricque@your-story-counseling.com",
            "affiliation": "N",
            "endpointDescription": "Business e-mail, HIPAA compliant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "707 E Patterson St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336044220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.