Organization Active NPI

Overcome Counseling, Coaching, & Conflict Resolution, LLC

  • Adult Mental Health Clinic/Center
  • St Augustine, FL
National Provider Identifier
1881392124
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OVERCOME COUNSELING, COACHING, & CONFLICT RESOLUTION, LLC
Practice address
530 Devon Cir
St Augustine, FL 32086-8704
Phone
(817) 691-4039
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Amanda Michele Houghton, LCSWNPI 1417290321
Title
Ceo
Phone
(817) 691-4039

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

530 Devon Cir
St Augustine, FL 32086-8704

Mailing address

530 Devon Cir
St Augustine, FL 32086-8704
Phone (817) 691-4039

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1881392124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DEVON CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320868704",
            "telephone_number": "817-691-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DEVON CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320868704",
            "telephone_number": "817-691-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOME COUNSELING, COACHING, & CONFLICT RESOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-691-4039",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.