Organization Active NPI

Enduring Peace Counseling LLC

  • Community/Behavioral Health Agency
  • Lakeland, FL
National Provider Identifier
1164880548
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH13024 Issued in FL
Legal business name
ENDURING PEACE COUNSELING LLC
Practice address
5110 S Florida Ave Ste 114
Lakeland, FL 33813-2517
Phone
(863) 738-8538
Fax
(863) 510-5903
NPI assigned
Feb 1, 2016
Last updated
Feb 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Beverly C. Rousseau, LMHC
Title
Owner
Phone
(863) 738-8538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH13024 FL Primary

Addresses

Primary practice location

5110 S Florida Ave Ste 114
Lakeland, FL 33813-2517

Mailing address

5110 S Florida Ave Ste 114
Lakeland, FL 33813-2517
Phone (863) 738-8538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1164880548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 S FLORIDA AVE STE 114",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132517",
            "telephone_number": "863-738-8538",
            "fax_number": "863-510-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S FLORIDA AVE STE 114",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132517",
            "telephone_number": "863-738-8538",
            "fax_number": "863-510-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURING PEACE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-738-8538",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH13024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.