Organization Active NPI

Estar Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • North Port, FL
National Provider Identifier
1023317138
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH9594 Issued in FL
Legal business name
ESTAR COUNSELING SERVICES, INC.
Practice address
2571 N Toledo Blade Blvd
North Port, FL 34289-9351
Phone
(941) 685-8654
Fax
(941) 876-3452
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
D. Paul Rodriguez, LMHC, PH.D.NPI 1417063546
Title
Owner
Phone
(941) 564-8734

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH9594 FL Primary

Addresses

Primary practice location

2571 N Toledo Blade Blvd
North Port, FL 34289-9351

Mailing address

PO Box 6728
North Port, FL 34290-6728
Phone (941) 685-8654

Other names 1

  • Own Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240917004771 FL Part B Supplier - Clinic/Group Practice 9335680313 Receives reassigned benefits from 1 practitioner
Practice locations: North Port, FL

National Provider Directory

National Provider Directory

Locations

2571 N Toledo Blade Blvd
North Port, FL 34289
Phone (941) 564-8734

2571 N Toledo Blade Blvd
Unit 2
North Port, FL 34289
Phone (407) 270-2491

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": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1023317138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6728",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342906728",
            "telephone_number": "941-685-8654",
            "fax_number": "941-876-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 N TOLEDO BLADE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899351",
            "telephone_number": "941-685-8654",
            "fax_number": "941-876-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTAR COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-564-8734",
        "authorized_official_credential": "LMHC, PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH9594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Own",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.