NPIMap

Organization Active NPI

New Covenant Counseling and Guidance Center, Inc.

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1124388202
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7412 Issued in FL
Legal business name
NEW COVENANT COUNSELING AND GUIDANCE CENTER, INC.
Practice address
2210 S Rio Grande Ave
Orlando, FL 32805-5262
Phone
(321) 438-4075
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Mr. Lernard Wilson, LMHC, NCCNPI 1992959894
Title
President
Phone
(321) 438-4075

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH7412 FL Primary

Addresses

Primary practice location

2210 S Rio Grande Ave
Orlando, FL 32805-5262

Mailing address

6820 Nawadaha Blvd
Orlando, FL 32818-5365
Phone (321) 438-4075

National Provider Directory

National Provider Directory

Locations

2210 S Rio Grande Ave
Orlando, FL 32805
Phone (321) 206-6300

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": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1124388202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 NAWADAHA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328185365",
            "telephone_number": "321-438-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 S RIO GRANDE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328055262",
            "telephone_number": "321-438-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW COVENANT COUNSELING AND GUIDANCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-438-4075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 22, 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.