Active NPI
Nils Swanson LMHC LLC
- Mental Health Counselor
- Eustis, FL
National Provider Identifier
1033783204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NILS SWANSON LMHC LLC
- Practice address
- 531 S Grove St
Eustis, FL 32726-4820 - Phone
- (352) 720-3067
- NPI assigned
- May 13, 2021
- Last updated
- Jan 12, 2024
- 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
- Nils Swanson
- Title
- Owner
- Phone
- (352) 720-3067
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
531 S Grove St
Eustis, FL 32726-4820
Mailing address
851 N Donnelly St
Mount Dora, FL 32757-4835
Phone (352) 760-3067
Other practice location 1
851 N Donnelly St
Mount Dora, FL 32757-4835
Phone (352) 760-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Eustis, FL
- NPI 1023441557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1033783204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 N DONNELLY ST",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327574835",
"telephone_number": "352-760-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 S GROVE ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264820",
"telephone_number": "352-720-3067"
}
],
"practiceLocations": [
{
"address_1": "851 N Donnelly St",
"address_purpose": "LOCATION",
"city": "Mount Dora",
"state": "FL",
"postal_code": "327574835",
"country_code": "US",
"telephone_number": "352-760-3067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NILS SWANSON LMHC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-13",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "NILS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-720-3067"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.