Organization Active NPI

Palm Harbor Counseling Team

  • Counselor
  • Palm Harbor, FL
National Provider Identifier
1154960805
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PALM HARBOR COUNSELING TEAM
Practice address
3023 Alt 19 Ste 102
Palm Harbor, FL 34683-1930
Phone
(727) 254-9183
Fax
(888) 345-7010
NPI assigned
Dec 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Authorized official

Name
Angela Bennett
Title
Administrative Assistant
Phone
(727) 254-9183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

3023 Alt 19 Ste 102
Palm Harbor, FL 34683-1930

Mailing address

3023 Alt 19 Ste 102
Palm Harbor, FL 34683-1930
Phone (727) 254-9183

National Provider Directory

National Provider Directory

Locations

3023 Alt 19
Ste 102
Palm Harbor, FL 34683
Phone (727) 220-2203

Practitioners & affiliated clinicians

Practitioners 3

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": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577577600000",
    "number": "1154960805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 ALT 19 STE 102",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831930",
            "telephone_number": "727-254-9183",
            "fax_number": "888-345-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 ALT 19 STE 102",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831930",
            "telephone_number": "727-254-9183",
            "fax_number": "888-345-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR COUNSELING TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-29",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "727-254-9183"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.