Organization Active NPI

Solutions Counseling & Recovery Center, Inc.

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1104233394
Registry record updated Jul 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 5265 Issued in FL
Legal business name
SOLUTIONS COUNSELING & RECOVERY CENTER, INC.
Practice address
2950 Halcyon LN
701
Jacksonville, FL 32223-6689
Phone
(904) 292-2407
Fax
(904) 292-2409
NPI assigned
Jul 19, 2014
Organization subpart
Yes
Parent organization
ISA TANENBAUM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2014

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

Authorized official

Name
Ms. Isabel Tanenbaum, LMHCNPI 1326085283
Title
Owner
Phone
(904) 292-2407

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 MH 5265 FL Primary

Addresses

Primary practice location

2950 Halcyon LN
701
Jacksonville, FL 32223-6689

Mailing address

2652 Sims Cove LN
Jacksonville, FL 32223-7118
Phone (904) 292-2407

National Provider Directory

National Provider Directory
Part of
Isa Tanenbaum Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1405728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405728000000",
    "number": "1104233394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 SIMS COVE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237118",
            "telephone_number": "904-292-2407",
            "fax_number": "904-292-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HALCYON LN",
            "address_2": "701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236689",
            "telephone_number": "904-292-2407",
            "fax_number": "904-292-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS COUNSELING & RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISA TANENBAUM, INC.",
        "enumeration_date": "2014-07-19",
        "last_updated": "2014-07-19",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-292-2407",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; 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.