The Southern Institute for Family & Community Preservation, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH-5565 Issued in FL

Legal business name

THE SOUTHERN INSTITUTE FOR FAMILY & COMMUNITY PRESERVATION, INC.

Practice address

3841 Killearn CT
Suite a
Tallahassee, FL 32309-3466

Phone

(850) 443-1334

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. D. Amelia B Kemp, M.S., LMHC

Title

Ceo/ Licensed Mental Health Counsel

Phone

(850) 443-1334

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Denise Amelia Kemp, M.S., LMHC, LPC

  • Mental Health Counselor
  • Kennesaw, GA
  • NPI 1821277690
  NPD (past)

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1073744587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13964",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173964",
            "telephone_number": "850-443-1334",
            "fax_number": "850-894-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 KILLEARN CT",
            "address_2": "SUITE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093466",
            "telephone_number": "850-443-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOUTHERN INSTITUTE FOR FAMILY & COMMUNITY PRESERVATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "D. AMELIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/ LICENSED MENTAL HEALTH COUNSEL",
        "authorized_official_telephone_number": "850-443-1334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-5565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z0480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tallahassee, FL
• Providers in Tallahassee, 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 Jul 2, 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.