Active NPI
Covenant Counseling Center, LLC
- Marriage & Family Therapist
- Casselberry, FL
National Provider Identifier
1023358736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2564
- Legal business name
- COVENANT COUNSELING CENTER, LLC
- Practice address
- 259 Live Oaks Blvd
Casselberry, FL 32707-3829 - Phone
- (321) 872-7720
- Fax
- (267) 203-7063
- NPI assigned
- Feb 18, 2013
- Last updated
- Mar 16, 2018
- 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
- Monica Clayton, LMFT
- Title
- Owner
- Phone
- (321) 872-7720
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X | MT2564 | FL | Primary |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
259 Live Oaks Blvd
Casselberry, FL 32707-3829
Mailing address
PO Box 681397
Orlando, FL 32868-1397
Phone (321) 872-7720
National Provider Directory
National Provider DirectoryLocations
259 Live Oaks Blvd
Casselberry, FL 32707
Phone (321) 872-7720
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Casselberry, FL
- NPI 1114252301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521158400000",
"number": "1023358736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681397",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328681397",
"telephone_number": "321-872-7720",
"fax_number": "267-203-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 LIVE OAKS BLVD",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073829",
"telephone_number": "321-872-7720",
"fax_number": "267-203-7063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-18",
"last_updated": "2018-03-16",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-872-7720",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2564",
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.