Active NPI
Grace Hope Counseling of Florida, PLLC
- Clinical Social Worker
- Winter Haven, FL
National Provider Identifier
1013559012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Pastoral Counselor | 101YP1600X | |||
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326315979 | Other | FL | LCSW |
Other names 1
- Grace Counseling Services of Winter Haven, PLLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Winter Haven, FL
- NPI 1427687581
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.