Cub Joseph Larkin, M.S., NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH20066 Issued in FL

Practice address

800 NW 29TH CT
Wilton Manors, FL 33311-2436

Phone

(954) 892-5552

Fax

(954) 405-8948

NPI assigned

Oct 2, 2020

Last updated

Jul 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inclusive Therapy Group

  • Mental Health Counselor
  • Wilton Manors, FL
  • NPI 1811605710
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1083211049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW 29TH CT",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112436",
            "telephone_number": "954-892-5552",
            "fax_number": "954-405-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW 29TH CT",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112436",
            "telephone_number": "954-892-5552",
            "fax_number": "954-405-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "CUB",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S., NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wilton Manors, FL
• Providers in Wilton Manors, 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 5, 2022; 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.