NPIMap

Organization Active NPI

Grace Counseling Center

  • Mental Health Counselor
  • Sanford, FL
National Provider Identifier
1003322264
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15463 Issued in FL
Legal business name
GRACE COUNSELING CENTER
Practice address
209 San Carlos Ave Ste 111a
Sanford, FL 32771-1412
Phone
(407) 431-7866
NPI assigned
Dec 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Authorized official

Name
Tanesha T Burns, LMHCNPI 1811394570
Title
Mental Health Counselor
Phone
(407) 431-7866

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH15463 FL Primary

Addresses

Primary practice location

209 San Carlos Ave Ste 111a
Sanford, FL 32771-1412

Mailing address

209 San Carlos Ave Ste 111a
Sanford, FL 32771-1412
Phone (407) 431-7866

National Provider Directory

National Provider Directory

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": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1003322264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SAN CARLOS AVE STE 111A",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711412",
            "telephone_number": "407-431-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SAN CARLOS AVE STE 111A",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711412",
            "telephone_number": "407-431-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "407-431-7866",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.