OrganizationActive
Envisionaire Counseling Coaching & Consulting
NPI 1114766300 · Marriage & Family Therapist · Brandon, FL
Provider details
- NPI number
- 1114766300
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Matietha Destin, Owner/Operator(813) 720-5191
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
522 Oakfield Dr
Brandon, FL 33511-5743
Phone: (813) 720-5191
Street-level locationGet directions
Mailing address
Po Box 145
Valrico, FL 33595-0145
Registry dates
- Enumerated
- 2024-05-20
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.