{"npi":"1356117345","type":"NPI-2","status":"active","name":{"display":"Circle Of Life Mental Health","other":[],"organization_name":"CIRCLE OF LIFE MENTAL HEALTH","authorised_official":"Alexis Goss"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7901 4TH ST N STE 300","city":"ST PETERSBURG","state":"FL","postal_code":"337024399","country_code":"US","phone":"3137590019"},{"purpose":"MAILING","street_1":"7901 4TH ST N STE 300","city":"ST PETERSBURG","state":"FL","postal_code":"337024399","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250213000544","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"4688104169"}]},"enumeration_date":"2023-11-30","last_updated":"2025-01-31","_meta":{"source":"NPPES","snapshot_date":"2025-01-31","doc_url":"https://findmynpi.com/api"}}