Organization Active NPI

Ocean Blue Counseling Group

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1013461870
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12863 Issued in FL
Legal business name
OCEAN BLUE COUNSELING GROUP
Practice address
2300 E Oakland Park Blvd
Suite 204
Fort Lauderdale, FL 33306-1100
Phone
(724) 799-1761
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Sandra Shuty
Title
Ceo
Phone
(724) 799-1761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW12863 FL Primary

Addresses

Primary practice location

2300 E Oakland Park Blvd
Suite 204
Fort Lauderdale, FL 33306-1100

Mailing address

2300 E Oakland Park Blvd
Suite 204
Fort Lauderdale, FL 33306-1100
Phone (724) 799-1761

National Provider Directory

National Provider Directory

Locations

2300 E Oakland Park Blvd
Ste 204
Fort Lauderdale, FL 33306
Phone (724) 799-1761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1013461870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E OAKLAND PARK BLVD",
            "address_2": "SUITE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061100",
            "telephone_number": "724-799-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E OAKLAND PARK BLVD",
            "address_2": "SUITE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061100",
            "telephone_number": "724-799-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BLUE COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "SHUTY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-799-1761"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.