Canopy Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9099 Issued in FL

Legal business name

CANOPY COUNSELING CENTER

Practice address

2431 Aloma Ave # 251
Winter Park, FL 32792-2541

Phone

(407) 923-5440

NPI assigned

Jul 21, 2013

Last updated

Jul 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melody Mitchell, LCSW

Title

Owner

Phone

(407) 923-5440

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1374364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374364800000",
    "number": "1083056956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 ALOMA AVE # 251",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922541",
            "telephone_number": "407-923-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 ALOMA AVE # 251",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922541",
            "telephone_number": "407-923-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-21",
        "last_updated": "2013-07-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-923-5440",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Canella
• Odalia Sandra Canfield, MED
• Lauren Paige Cangimilla
• M Clark Canine, MA LMHC NCC
• Tina Cannon, LMHC
• Shayne Hyson Cantwell, APRN
• Stefani L. Capone, M.D.
• Kellie J Capoto, MSW
• Capstone Eye Care Group of Florida LLC (Pearle Vision - Winter Park)
• Jailene Caraballo, PT, DPT

• Clinical Social Worker in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2013; 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.