Organization Active NPI

Fringe Counseling Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Casselberry, FL
National Provider Identifier
1063120392
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FRINGE COUNSELING COLLECTIVE
Practice address
853 State Road 436 Ste 1051
Casselberry, FL 32707-5401
Phone
(321) 246-4581
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Katherine Buntin, LCSWNPI 1477942985
Title
President
Phone
(321) 246-4581

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

853 State Road 436 Ste 1051
Casselberry, FL 32707-5401

Mailing address

853 State Road 436 Ste 1051
Casselberry, FL 32707-5401
Phone (321) 246-4581

National Provider Directory

National Provider Directory

Locations

853 State Road 436
Ste 1051
Casselberry, FL 32707
Phone (321) 236-1836

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1063120392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 STATE ROAD 436 STE 1051",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075401",
            "telephone_number": "321-246-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 STATE ROAD 436 STE 1051",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075401",
            "telephone_number": "321-246-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRINGE COUNSELING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "BUNTIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-246-4581",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 23, 2025; 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.