WHOLE SOUL THERAPY AND EMDR LLC
NPI 1275473662
Clinic/Center in South Daytona, FL
About Whole Soul Therapy And Emdr Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHOLE SOUL THERAPY AND EMDR LLC (NPI 1275473662) is a healthcare organization registered as a clinic/center in South Daytona, Florida and active in the NPI registry since March 2026. The organization lists Jacob Bryant, Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Whole Soul Therapy And Emdr Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Whole Soul Therapy And Emdr LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Whole Soul Therapy And Emdr LLC's NPI number?
The NPI number for Whole Soul Therapy And Emdr LLC is 1275473662. It was assigned to this organization in the NPPES registry on March 30, 2026.
Where is Whole Soul Therapy And Emdr LLC located?
Whole Soul Therapy And Emdr LLC is located at 1737 Biscayne Ave, South Daytona, FL 32119. The listed phone number is (386) 310-9662.
What is Whole Soul Therapy And Emdr LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Whole Soul Therapy And Emdr LLC enrolled in Medicare?
Yes. Whole Soul Therapy And Emdr LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Whole Soul Therapy And Emdr LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Whole Soul Therapy And Emdr LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Whole Soul Therapy And Emdr LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Whole Soul Therapy And Emdr Llc · NPI 1275473662
Clinic/Center organization in South Daytona, Florida. Organization record, active in the CMS NPPES registry since March 30, 2026.
## Identity
- **NPI:** 1275473662 (Entity type: Organization)
- **Enumerated:** March 30, 2026
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jacob Bryant, OPERATOR
## Practice location
- **Address:** 1737 BISCAYNE AVE, South Daytona, FL 32119-2011
- **Phone:** (386) 310-9662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275473662) · Data from the CMS NPPES public registry.