NPIMap

Organization Active NPI

Pieces of a Dream Counseling Center

  • Mental Health Counselor
  • North Port, FL
National Provider Identifier
1114277266
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11397 Issued in FL
Legal business name
PIECES OF A DREAM COUNSELING CENTER
Practice address
12543 Tamiami TRL S
North Port, FL 34287-1446
Phone
(941) 237-1199
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Mr. Calvin Collins Sr., LMHC
Title
Mental Health Therapist/ Director
Phone
(941) 237-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 11397 FL Primary

Addresses

Primary practice location

12543 Tamiami TRL S
North Port, FL 34287-1446

Mailing address

12543 Tamiami TRL S
North Port, FL 34287-1446
Phone (941) 237-1199

Other names 1

  • North Port Community Church of God In Christ Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1114277266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12543 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871446",
            "telephone_number": "941-237-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12543 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871446",
            "telephone_number": "941-237-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIECES OF A DREAM COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST/ DIRECTOR",
        "authorized_official_telephone_number": "941-237-1199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Port Community Church of God In Christ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.