Organization Active NPI

McPherson Counseling Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Yulee, FL
National Provider Identifier
1144307828
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0445AD146701 Issued in FL
Legal business name
MCPHERSON COUNSELING SERVICES, INC
Practice address
850310 US Highway 17
Yulee, FL 32097-9036
Phone
(904) 548-0160
Fax
(904) 548-0158
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. Michael McPherson, MS, CAP, CMHP
Title
Executive Director
Phone
(904) 548-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 0445AD146701 FL Primary

Addresses

Primary practice location

850310 US Highway 17
Yulee, FL 32097-9036

Mailing address

850310 US Highway 17
Yulee, FL 32097-9036
Phone (904) 548-0160

Other identifiers 1

IdentifierTypeStateIssuer
0768341 00MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
McPherson Counseling Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1144307828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850310 US HIGHWAY 17",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320979036",
            "telephone_number": "904-548-0160",
            "fax_number": "904-548-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850310 US HIGHWAY 17",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320979036",
            "telephone_number": "904-548-0160",
            "fax_number": "904-548-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPHERSON COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-548-0160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CAP, CMHP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "0445AD146701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0768341 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

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