Organization Active NPI

Paradigm Counseling Associates LLC

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1114646437
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PARADIGM COUNSELING ASSOCIATES LLC
Practice address
861 NW 72ND Ave
Plantation, FL 33317-1129
Phone
(954) 559-6093
Fax
(239) 330-7028
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Jerjuan Toles, BSHSM, MSHA
Title
Credentialer
Phone
(754) 270-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

861 NW 72ND Ave
Plantation, FL 33317-1129

Mailing address

861 NW 72ND Ave
Plantation, FL 33317-1129
Phone (954) 559-6093

National Provider Directory

National Provider Directory

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": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1114646437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 NW 72ND AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171129",
            "telephone_number": "954-559-6093",
            "fax_number": "239-330-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 NW 72ND AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171129",
            "telephone_number": "954-559-6093",
            "fax_number": "239-330-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLES",
        "authorized_official_first_name": "JERJUAN",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "754-270-6322",
        "authorized_official_credential": "BSHSM, MSHA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.