Blue Horizon Eating Disorder Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13519 Issued in FL

Legal business name

BLUE HORIZON EATING DISORDER SERVICES, LLC

Practice address

1155 Louisiana Ave
Suite 210
Winter Park, FL 32789-2341

Phone

(407) 960-2651

Fax

(407) 335-4964

NPI assigned

Feb 5, 2010

Organization subpart

No

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

Authorized official

Name

Karen S. Beerbower, M.S., RD, LD/N

Title

Clinical Director

Phone

(407) 960-2651

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1053643635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 LOUISIANA AVE",
            "address_2": "SUITE 210",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892341",
            "telephone_number": "407-960-2651",
            "fax_number": "407-335-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LOUISIANA AVE",
            "address_2": "SUITE 210",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892341",
            "telephone_number": "407-960-2651",
            "fax_number": "407-335-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZON EATING DISORDER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BEERBOWER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-960-2651",
        "authorized_official_credential": "M.S., RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13519",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1946",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND0001484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Winter Park, FL
• Providers in Winter Park, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.