Active NPI
Estar Counseling Services, Inc.
- Community/Behavioral Health Agency
- North Port, FL
National Provider Identifier
1023317138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH9594
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- North Port, FL
- NPI 1417063546
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.