Solaris Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOLARIS COUNSELING SERVICES, LLC

Doing business as

Solaris Counseling

Practice address

721 Ashley Dr
Crestview, FL 32536-9231

Phone

(352) 478-4005

Fax

(352) 478-4006

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Novella Moffitt, LMHCNPI 1770950206

Title

Owner/Operator/Biller

Phone

(352) 451-3888

Specialties & licenses 1

Addresses

Other names 1

• Solaris Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Novella Moffitt, LMHC

  • Mental Health Counselor
  • Crestview, FL
  • NPI 1770950206
  NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1174219794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 ASHLEY DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369231",
            "telephone_number": "352-478-4005",
            "fax_number": "352-478-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 ASHLEY DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369231",
            "telephone_number": "352-478-4005",
            "fax_number": "352-478-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARIS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "NOVELLA",
        "authorized_official_title_or_position": "OWNER/OPERATOR/BILLER",
        "authorized_official_telephone_number": "352-451-3888",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solaris Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Anne Smith, M.D., PH.D.
• Jonathan Edward Smith
• Kristina Smith, APRN
• Marilyn Ruth Smith, NP-C APRN
• Pamela Smith
• Barbara Southard
• Southern Psychiatry LLC
• Nancy Diane Yohe Sparagowski
• Eric Spears
• Lea Kay Spears, O.D.

• Mental Health Counselor in Crestview, FL
• Providers in Crestview, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.