Organization Active NPI

Frank Haberle Drake

  • Pastoral Counselor
  • Winter Garden, FL
National Provider Identifier
1073963211
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
FH0815-2164 Issued in FL
Legal business name
FRANK HABERLE DRAKE
Practice address
213 S Dillard St
Suite 320
Winter Garden, FL 34787-3522
Phone
(407) 499-4794
Fax
(407) 749-6108
NPI assigned
Jun 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Frank Haberle-Drake, PHD LCCC
Title
VP
Phone
(888) 401-4012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X FH0815-2164 FL Primary

Addresses

Primary practice location

213 S Dillard St
Suite 320
Winter Garden, FL 34787-3522

Mailing address

656 Cimarosa CT
Ocoee, FL 34761-5007
Phone (888) 401-4012

Other names 1

  • WSCU Mental Health Services of Central Florida Doing business as

National Provider Directory

National Provider Directory

Locations

213 S Dillard St
Ste 320
Winter Garden, FL 34787
Phone (407) 499-4794

NPI Registry JSON

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1073963211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 CIMAROSA CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615007",
            "telephone_number": "888-401-4012",
            "fax_number": "407-499-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST",
            "address_2": "SUITE 320",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873522",
            "telephone_number": "407-499-4794",
            "fax_number": "407-749-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK HABERLE DRAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-19",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "HABERLE-DRAKE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "888-401-4012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LCCC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "FH0815-2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WSCU Mental Health Services of Central Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.