North Star Behavioral Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTH STAR BEHAVIORAL HEALTH LLC

Practice address

850 E Lime St # 2027
Tarpon Springs, FL 34689-4702

Phone

(727) 218-9383

NPI assigned

Mar 20, 2019

Organization subpart

No

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

Authorized official

Name

Edward Eakes Jr., LCSW

Title

Owner

Phone

(727) 218-9383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1962962704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E LIME ST # 2027",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E LIME ST # 2027",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894702",
            "telephone_number": "727-218-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "EAKES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-218-9383",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilybel Nicholas
• Joel Nickel, MS
• Irene Andrea Nickolakis, M.D.
• Nicolas Pavouris M D P a
• Alice Sezine Nkembo
• Courtney Nowicki, DDS, MS
• Vamsi Nukala, M.D.
• Einar Ollander O, C.P.
• Oakwood East Retirement Center,Inc
• Michael T. Obreiter, LCAS

• Clinical Social Worker in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.