Organization Active NPI

Grace Hope Counseling of Florida, PLLC

  • Clinical Social Worker
  • Winter Haven, FL
National Provider Identifier
1013559012
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRACE HOPE COUNSELING OF FLORIDA, PLLC
Practice address
99 6TH St SW Ste 101
Winter Haven, FL 33880-7902
Phone
(863) 662-4191
Fax
(863) 588-3152
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Nakita Watkins Scott, LCSW, MSW, MA
Title
Executive Clinical Director
Phone
(863) 662-4191

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

99 6TH St SW Ste 101
Winter Haven, FL 33880-7902

Mailing address

111 W Central Ave # 956
Winter Haven, FL 33880-8001
Phone (863) 210-9473

Other identifiers 1

IdentifierTypeStateIssuer
1326315979OtherFLLCSW

Other names 1

  • Grace Counseling Services of Winter Haven, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

111 W Central Ave
#956
Winter Haven, FL 33880

180 E Central Ave
Winter Haven, FL 33880
Phone (863) 210-9473

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": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1013559012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W CENTRAL AVE # 956",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338808001",
            "telephone_number": "863-210-9473",
            "fax_number": "863-588-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 6TH ST SW STE 101",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338807902",
            "telephone_number": "863-662-4191",
            "fax_number": "863-588-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOPE COUNSELING OF FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NAKITA",
        "authorized_official_middle_name": "WATKINS",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "863-662-4191",
        "authorized_official_credential": "LCSW, MSW, MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "1326315979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Counseling Services of Winter Haven, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.