Active NPI
Carlyjayellc
- Counselor
- Orlando, FL
National Provider Identifier
1003637877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- CARLYJAYELLC
- Practice address
- 185 Drennen Rd Ste 333
Orlando, FL 32806-6187 - Phone
- (321) 234-7554
- NPI assigned
- Oct 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carly Resnick, LMHC
- Title
- Ceo
- Phone
- (321) 234-7554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
185 Drennen Rd Ste 333
Orlando, FL 32806-6187
Mailing address
185 Drennen Rd Ste 333
Orlando, FL 32806-6187
Other practice location 1
185 Drennen Rd Ste 333
Orlando, FL 32806-6187
Phone (321) 234-7554
National Provider Directory
National Provider DirectoryLocations
185 Drennen Rd
Ste 333
Orlando, FL 32806
Phone (321) 234-7554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1003637877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 DRENNEN RD STE 333",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 DRENNEN RD STE 333",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066187",
"telephone_number": "321-234-7554"
}
],
"practiceLocations": [
{
"address_1": "185 Drennen Rd Ste 333",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328066187",
"country_code": "US",
"telephone_number": "321-234-7554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARLYJAYELLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "RESNICK",
"authorized_official_first_name": "CARLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "321-234-7554",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.