Organization Active NPI

Behavioral Health Specialists

  • Addiction (Substance Use Disorder) Counselor
  • Winter Park, FL
National Provider Identifier
1124413125
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5774 Issued in FL
Legal business name
BEHAVIORAL HEALTH SPECIALISTS
Practice address
2538 Leeward Way
Winter Park, FL 32792-1625
Phone
(912) 401-3990
NPI assigned
Apr 6, 2015
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dr. Hamilton S Peirsol, PSY.D., CAP, CAADCNPI 1831550565
Title
Ceo
Phone
(912) 401-3990

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
Addiction (Substance Use Disorder) Counselor 101YA0400X 5774 FL Primary

Addresses

Primary practice location

2538 Leeward Way
Winter Park, FL 32792-1625

Mailing address

3 Chatuachee Xing
Savannah, GA 31411-1602
Phone (912) 401-3990

Other identifiers 1

IdentifierTypeStateIssuer
5774OtherFLFLORIDA CERTIFICATION BOARD

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1124413125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHATUACHEE XING",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111602",
            "telephone_number": "912-401-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 LEEWARD WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921625",
            "telephone_number": "912-401-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "PEIRSOL",
        "authorized_official_first_name": "HAMILTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-401-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., CAP, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "5774",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.