Active NPI
Marriage & Family Services, Inc.
- Community/Behavioral Health Agency
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MARRIAGE & FAMILY SERVICES, INC.
- Practice address
- 1725 W Dr Martin Luther King Jr Blvd Ste 105
Tampa, FL 33607-6507 - Phone
- (561) 774-8225
- Fax
- (561) 634-2776
- NPI assigned
- Sep 17, 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
- Eric Thomas Mundt, LMFT
- Title
- Ceo, Clinical Director
- Phone
- (561) 503-3059
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1725 W Dr Martin Luther King Jr Blvd Ste 105
Tampa, FL 33607-6507
Mailing address
15204 S Jog Rd Ste 303
Delray Beach, FL 33446-2171
Phone (561) 774-8225
National Provider Directory
National Provider Directory- Tax ID family
- Marriage Family Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Delray Beach, FL
- NPI 1265720569
-
- Community/Behavioral Health Agency
- North Miami, FL
- NPI 1619623287
-
- Mental Health Counselor
- Stuart, FL
- NPI 1902745151
Locations
1725 W Dr Martin Luther King Jr Blvd
Ste 105
Tampa, FL 33607
Phone (561) 774-8225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Delray Beach, FL
- NPI 1841478567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1003643727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15204 S JOG RD STE 303",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334462171",
"telephone_number": "561-774-8225",
"fax_number": "561-634-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W DR MARTIN LUTHER KING JR BLVD STE 105",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076507",
"telephone_number": "561-774-8225",
"fax_number": "561-634-2776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARRIAGE & FAMILY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "MUNDT",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "CEO, CLINICAL DIRECTOR",
"authorized_official_telephone_number": "561-503-3059",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.