Brian Odell Pagan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14953 Issued in FL

Practice address

4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195

Phone

(954) 696-4001

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brian Odell Pagan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Life Coaching PLLC

  dba Full Life Comprehensive Care

  • Adult Mental Health Clinic/Center
  • Boca Raton, FL
  • NPI 1699539403
  NPD Authorized official

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1902326861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315195",
            "telephone_number": "954-696-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "BRIAN",
        "middle_name": "ODELL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "PAGAN",
            "middle_name": "ODELL",
            "credential": "LMHC, CAP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Alan Padden, MD
• Asha Padmanabhan, M.D.
• Sara Victoria Padron Camacho
• Erika Padron Vega
• Giuseppe Gabriele Paese, D.O.
• John Lawrence Pagano, OD
• Judith Page-Sarfati, M.S.W.
• Tiffany Pagliazzo, LMHC
• Eva Pagoulatos, PSY.D.
• Sulbha Pai

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.