Ascent Christian Counseling, LLC
Organization Active NPI Mental Health Counselor · Crestview, FL
NPI 1073255279 · NPPES record last updated Sep 2, 2024
Key facts
- NPI
- 1073255279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- ASCENT CHRISTIAN COUNSELING, LLC
- Practice address
- 824 N Ferdon Blvd
Crestview, FL 32536-2157 - Phone
- (850) 603-0941
- NPI assigned
- Apr 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Heather Allen, LMHC
- Title
- Owner/Licensed Mental Health Coun.
- Phone
- (850) 603-0941
Practitioners 3
-
Heather Allen, LMHC
-
Amy Bondurant, LCSW
National Provider Directory
Locations
824 N Ferdon Blvd
Crestview, FL 32536
Phone (850) 603-0941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Clinical Social Worker |
1041C0700X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
824 N Ferdon Blvd
Crestview, FL 32536-2157
Mailing address
4680 Lovegrass LN
Crestview, FL 32539-8357
Phone (850) 603-0941
NPI Registry JSON
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1073255279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 LOVEGRASS LN",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325398357",
"telephone_number": "850-603-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 N FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325362157",
"telephone_number": "850-603-0941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENT CHRISTIAN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OWNER/LICENSED MENTAL HEALTH COUN.",
"authorized_official_telephone_number": "850-603-0941",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
- Charles Bradley Arbogast
- Jacob Armstrong
- Jeffrey Arney
- Shirley Arnold
- Sabra Lynn Arzaga
- Jonathan Aspinwall
- Amber Kristina Aull
- Kaitlen Autrey
- Muhammad Azzam Awan
- Monica L Baker
All providers in Crestview, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.