NPIMap

Organization Active NPI

First Community Care

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1124324934
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FIRST COMMUNITY CARE
Practice address
3125 Bruton Blvd
Suite a
Orlando, FL 32805
Phone
(407) 514-4470
NPI assigned
Jan 27, 2011
Organization subpart
Yes
Parent organization
FIRST BAPTIST CHURCH ORLANDOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Mrs. Kari Bozard Russo, LMHCNPI 1689839052
Title
Director /Licensed Mental Health
Phone
(407) 514-4470

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X FL
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH5041 FL
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X FL Primary

Addresses

Primary practice location

3125 Bruton Blvd
Suite a
Orlando, FL 32805

Mailing address

3125 Bruton Blvd
Suite a
Orlando, FL 32805
Phone (407) 514-4470

Other names 1

  • First Orlando Counseling Center Doing business as

National Provider Directory

National Provider Directory
Part of
First Baptist Church of Orlando Counseling Center

Locations

3125 Bruton Blvd
Ste A
Orlando, FL 32805
Phone (321) 472-3809

Practitioners & affiliated clinicians

Practitioners 11

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": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1124324934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 BRUTON BLVD",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32805",
            "telephone_number": "407-514-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BRUTON BLVD",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32805",
            "telephone_number": "407-514-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COMMUNITY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST BAPTIST CHURCH ORLANDO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "BOZARD",
        "authorized_official_title_or_position": "DIRECTOR  /LICENSED MENTAL HEALTH",
        "authorized_official_telephone_number": "407-514-4470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5041",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Orlando Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.