Pebble Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEBBLE COUNSELING, LLC

Practice address

527 San Sebastian Prado
Altamonte Springs, FL 32714-2236

Phone

(407) 603-5296

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susel De la CruzNPI 1043790496

Title

Therapist

Phone

(407) 603-5296

Specialties & licenses 1

Addresses

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.

• Susel De la Cruz

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1043790496
  NPD Authorized official

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1114591922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 SAN SEBASTIAN PRADO",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142236",
            "telephone_number": "407-603-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SAN SEBASTIAN PRADO",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142236",
            "telephone_number": "407-603-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-16",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "SUSEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "407-603-5296"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Raul Pellicane, LMT
• Clarissa Pena
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.