Piper Counseling & Psychiatric Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8266 Issued in FL

Legal business name

PIPER COUNSELING & PSYCHIATRIC SERVICES

Doing business as

Back Door Counseling

Practice address

1639 Cape Coral Pkwy E
Suite 211
Cape Coral, FL 33904-9651

Phone

(239) 699-8622

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Miss Tara P Hruby, MA, LMHCNPI 1922262138

Title

Licensed Mental Health Counselor

Phone

(239) 699-8622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Back Door Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Tara P Hruby, LMHC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1922262138
  Medicare reassignment NPD Authorized official
• Candice Mitchell, LMHC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1689267494
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1043654791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NE 15TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091414",
            "telephone_number": "239-699-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 CAPE CORAL PKWY E",
            "address_2": "SUITE 211",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049651",
            "telephone_number": "239-699-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPER COUNSELING & PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "HRUBY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "239-699-8622",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "271633359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Door Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imayaray Pino Hernandez
• Yanisleidy Pino Miranda
• Yusleidy Pino Padilla
• Leydis Pino
• Thomas Donato Pino, PA-C
• Shelley R Pirtle
• Eugene Thomas Pitney Jr., PT
• Jessica Harrell Pittman
• Rafael Castro Placeres
• Mileydis Plasencia Castillo

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.