Organization Active NPI

Carlyjayellc

  • Counselor
  • Orlando, FL
National Provider Identifier
1003637877
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Oct 23, 2024

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.