NPIMap

Organization Active NPI

Melting Walls Family Consultants

  • Clinical Social Worker
  • Winter Springs, FL
National Provider Identifier
1093298457
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MELTING WALLS FAMILY CONSULTANTS
Practice address
1100 Town Plaza CT Ste 1010
Winter Springs, FL 32708-6231
Phone
(407) 953-2497
Fax
(407) 359-2756
NPI assigned
Sep 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Dr. Kevin Turner, PHD
Title
Business Operations
Phone
(407) 953-7927

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1100 Town Plaza CT Ste 1010
Winter Springs, FL 32708-6231

Mailing address

1809 E Broadway St Ste 355
Oviedo, FL 32765-8597
Phone (407) 953-2497

Other identifiers 1

IdentifierTypeStateIssuer
1982729570OtherFLPRACTICE OWNER

National Provider Directory

National Provider Directory

Locations

1100 Town Plaza Ct
Ste 1010
Winter Springs, FL 32708
Phone (407) 953-2497

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1093298457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E BROADWAY ST STE 355",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658597",
            "telephone_number": "407-953-2497",
            "fax_number": "407-359-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TOWN PLAZA CT STE 1010",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086231",
            "telephone_number": "407-953-2497",
            "fax_number": "407-359-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTING WALLS FAMILY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "407-953-7927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE OWNER",
            "identifier": "1982729570",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.