NPIMap

Organization Active NPI

Evermind LLC

  • Marriage & Family Therapist
  • Saint Cloud, FL
National Provider Identifier
1962997015
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3287 Issued in FL
Legal business name
EVERMIND LLC
Practice address
4101 Neptune Rd
Saint Cloud, FL 34769-6754
Phone
(321) 223-7070
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Mrs. Jillian Gatz, LMFTNPI 1528505120
Title
Provider
Phone
(321) 223-7070

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
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X MT3287 FL Primary

Addresses

Primary practice location

4101 Neptune Rd
Saint Cloud, FL 34769-6754

Mailing address

4296 Sasha TRL
Saint Cloud, FL 34772-8869
Phone (321) 223-7070

National Provider Directory

National Provider Directory

Locations

4101 Neptune Rd
Saint Cloud, FL 34769
Phone (321) 223-7070

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": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1962997015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4296 SASHA TRL",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728869",
            "telephone_number": "321-223-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NEPTUNE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696754",
            "telephone_number": "321-223-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERMIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "GATZ",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "321-223-7070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.