Family Builders Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH8409 Issued in FL

Legal business name

FAMILY BUILDERS COUNSELING

Practice address

1010 Norwood Ave
Titusville, FL 32796-2747

Phone

(321) 432-8295

Fax

(321) 267-8491

NPI assigned

Mar 9, 2016

Last updated

Mar 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joel L. Wells Sr., LMHCNPI 1346360070

Title

Licensed Mental Health Counselor

Phone

(321) 432-8295

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Joel L Wells, LMHC

  • Mental Health Counselor
  • Titusville, FL
  • NPI 1346360070
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1023479771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 GREEN TURTLE CIR",
            "city": "MIMS",
            "state": "FL",
            "postal_code": "327546515",
            "telephone_number": "321-432-8295",
            "fax_number": "321-267-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORWOOD AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962747",
            "telephone_number": "321-432-8295",
            "fax_number": "321-267-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BUILDERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "321-432-8295",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH8409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009489800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Z3111P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Titusville, FL
• Providers in Titusville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.