Organization Active NPI

Stephanie Coberly, LMHC PA

  • Counselor
  • Pembroke Pines, FL
National Provider Identifier
1063838951
Registry record updated Mar 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH9399 Issued in FL
Legal business name
STEPHANIE COBERLY, LMHC PA
Practice address
9050 Pines Blvd Ste 383
Pembroke Pines, FL 33024-6400
Phone
(954) 324-8383
Fax
(954) 324-8383
NPI assigned
Mar 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2014

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

Authorized official

Name
Mr. Richard Lee Coberly
Title
VP
Phone
(954) 324-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X MH9399 FL Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 383
Pembroke Pines, FL 33024-6400

Mailing address

9050 Pines Blvd Ste 383
Pembroke Pines, FL 33024-6400
Phone (954) 324-8383

Other names 1

  • South Florida Therapeutic Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

9050 Pines Blvd
Ste 383
Pembroke Pines, FL 33024
Phone (954) 324-8383

Practitioners & affiliated clinicians

Practitioners 1

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": "1394841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394841600000",
    "number": "1063838951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 383",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246400",
            "telephone_number": "954-324-8383",
            "fax_number": "954-324-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 383",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246400",
            "telephone_number": "954-324-8383",
            "fax_number": "954-324-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE COBERLY, LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A",
        "authorized_official_last_name": "COBERLY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-324-8383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH9399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.