Organization Active NPI

Healing Counseling

  • Professional Counselor
  • Port Saint Lucie, FL
National Provider Identifier
1982043840
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH9670 Issued in FL
Legal business name
HEALING COUNSELING
Practice address
10400 SW Stephanie Way Apt 207
Port Saint Lucie, FL 34987-1974
Phone
(813) 416-5458
Fax
(772) 237-7726
NPI assigned
Jun 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Mr. Robert Medina, LMHC/CAP
Title
License Therapist
Phone
(813) 416-5458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X MH9670 FL Primary

Addresses

Primary practice location

10400 SW Stephanie Way Apt 207
Port Saint Lucie, FL 34987-1974

Mailing address

10400 SW Stephanie Way Apt 207
Port Saint Lucie, FL 34987-1974
Phone (813) 416-5458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1982043840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 SW STEPHANIE WAY APT 207",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871974",
            "telephone_number": "813-416-5458",
            "fax_number": "772-237-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 SW STEPHANIE WAY APT 207",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871974",
            "telephone_number": "813-416-5458",
            "fax_number": "772-237-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSE THERAPIST",
        "authorized_official_telephone_number": "813-416-5458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC/CAP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH9670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.