NPIMap

Organization Active NPI

M&a Community Outreach Center Inc

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1164958229
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14926 Issued in FL
Legal business name
M&A COMMUNITY OUTREACH CENTER INC
Practice address
1400 N P St
Pensacola, FL 32505-6440
Phone
(850) 429-1755
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Dorothy Marie BrownNPI 1134387574
Title
Director /Provider
Phone
(850) 429-1755

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH14926 FL Primary

Addresses

Primary practice location

1400 N P St
Pensacola, FL 32505-6440

Mailing address

P.O. Box 2071
Pensacola, FL 32513-2071
Phone (850) 429-1755

National Provider Directory

National Provider Directory

Locations

1400 N P St
Pensacola, FL 32505
Phone (850) 429-1755

Practitioners & affiliated clinicians

Practitioners 1

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1164958229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2071",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132071",
            "telephone_number": "850-429-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N P ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325056440",
            "telephone_number": "850-429-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&A COMMUNITY OUTREACH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR  /PROVIDER",
        "authorized_official_telephone_number": "850-429-1755"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.