Organization Active NPI

Lifechanging Counseling PA

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1982633673
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 11424 Issued in FL
Legal business name
LIFECHANGING COUNSELING PA
Practice address
6237 Presidential CT Ste 110
Fort Myers, FL 33919-3508
Phone
(239) 243-8098
Fax
(239) 482-5335
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Ms. Jama Thurman, LMHCNPI 1225451990
Title
Licensed Mental Health Counselor
Phone
(239) 243-8098

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 0701003634 VA
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH 11424 FL Primary

Addresses

Primary practice location

6237 Presidential CT Ste 110
Fort Myers, FL 33919-3508

Mailing address

6237 Presidential CT Ste 110
Fort Myers, FL 33919-3508
Phone (239) 243-8098

National Provider Directory

National Provider Directory

Locations

6237 Presidential Ct
Ste 110
Fort Myers, FL 33919
Phone (239) 219-9216

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1982633673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 PRESIDENTIAL CT STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193508",
            "telephone_number": "239-243-8098",
            "fax_number": "239-482-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 PRESIDENTIAL CT STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193508",
            "telephone_number": "239-243-8098",
            "fax_number": "239-482-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHANGING COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "JAMA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "239-243-8098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003634",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.