Counseling Specialists, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUNSELING SPECIALISTS, INC.

Doing business as

Counseling Specialists of Central Florida

Practice address

610 N. Wymore Rd.
Suite 110
Maitland, FL 32751

Phone

(321) 279-0290

Fax

(407) 637-5451

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Michelle Jackson, PHD, LMHC-S, RPT-S

Title

Clinical Director

Phone

(321) 279-0290

Specialties & licenses 1

Addresses

Other names 1

• Counseling Specialists of Central Florida Doing business as

Locations

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1184255929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N. WYMORE RD.",
            "address_2": "SUITE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "321-279-0290",
            "fax_number": "407-637-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N. WYMORE RD.",
            "address_2": "SUITE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "321-279-0290",
            "fax_number": "407-637-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "321-279-0290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD, LMHC-S, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Specialists of Central Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Maitland, FL
• Providers in Maitland, 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 Jan 30, 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.