NPIMap

Organization Active NPI

Groveland Family & Crisis Counseling

  • Psychologist
  • Groveland, FL
National Provider Identifier
1154776110
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
CPY0003010493 Issued in FL
Legal business name
GROVELAND FAMILY & CRISIS COUNSELING
Practice address
611 S Main Ave
Groveland, FL 34736-2731
Phone
(352) 429-5600
Fax
(352) 429-1206
NPI assigned
Apr 27, 2016
Organization subpart
Yes
Parent organization
HARVEST BAPTIST CHURCH OF ORLANDO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Joseph WM Nussbaumer, PHD
Title
President
Phone
(352) 267-0519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X CPY0003010493 FL Primary

Addresses

Primary practice location

611 S Main Ave
Groveland, FL 34736-2731

Mailing address

611 S Main Ave
Groveland, FL 34736-2731
Phone (352) 429-5600

Other names 1

  • GFC Counseling Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1154776110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MAIN AVE",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362731",
            "telephone_number": "352-429-5600",
            "fax_number": "352-429-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MAIN AVE",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362731",
            "telephone_number": "352-429-5600",
            "fax_number": "352-429-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVELAND FAMILY & CRISIS COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARVEST BAPTIST CHURCH OF ORLANDO, INC.",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUMER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-267-0519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "CPY0003010493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GFC Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Groveland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.