Anew Life Counseling and Consulting Group, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ANEW LIFE COUNSELING AND CONSULTING GROUP, LLC

Practice address

1266 Cedar Center Dr
Tallahassee, FL 32301-4876

Phone

(850) 508-4624

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Drake H Gunning, LCSWNPI 1629406533

Title

Owner

Phone

(850) 508-4624

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Drake H Gunning, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1629406533

  FL

  Medicare reassignment NPD Authorized official
• Alana Myers

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1376376004
  NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1104469618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 CEDAR CENTER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014876",
            "telephone_number": "850-508-4624",
            "fax_number": "850-512-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 CEDAR CENTER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014876",
            "telephone_number": "850-508-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW LIFE COUNSELING AND CONSULTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "GUNNING",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-508-4624",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tallahassee, FL
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.