NPIMap

Organization Active NPI

Cypress Grove Counseling Center LLC

  • Mental Health Counselor
  • Mount Dora, FL
National Provider Identifier
1093324824
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CYPRESS GROVE COUNSELING CENTER LLC
Practice address
6551 N Orange Blossom Trail Suite 209 #1005
Mount Dora, FL 32757
Phone
(540) 850-9978
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Mrs. Krystie Moss, LMHCNPI 1023479789
Title
Owner
Phone
(540) 850-9978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6551 N Orange Blossom Trail Suite 209 #1005
Mount Dora, FL 32757

Mailing address

6551 N Orange Blossom Trail Suite 209 #1005
Mount Dora, FL 32757
Phone (540) 850-9978

National Provider Directory

National Provider Directory

Locations

6551 N Orange Blossom Trl
Ste 209
Mount Dora, FL 32757
Phone (540) 850-9978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1093324824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 N ORANGE BLOSSOM TRAIL SUITE 209 #1005",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "540-850-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 N ORANGE BLOSSOM TRAIL SUITE 209 #1005",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "540-850-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS GROVE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "KRYSTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-850-9978",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.