Organization Active NPI

Coffee Cup Counseling LLC

Doing business as Aly Landry Counseling

  • Adult Mental Health Clinic/Center
  • Mount Dora, FL
National Provider Identifier
1184460800
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COFFEE CUP COUNSELING LLC
Doing business as
Aly Landry Counseling
Practice address
851 N Donnelly St
Mount Dora, FL 32757-4835
Phone
(321) 209-2049
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Alyssa Landry, LMHC/LMFTNPI 1164110193
Title
Ceo
Phone
(386) 490-5618

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

851 N Donnelly St
Mount Dora, FL 32757-4835

Mailing address

22440 State Road 44
Eustis, FL 32736-8805
Phone (386) 490-5618

Other names 1

  • Aly Landry Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1184460800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22440 STATE ROAD 44",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368805",
            "telephone_number": "386-490-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 N DONNELLY ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574835",
            "telephone_number": "321-209-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE CUP COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-490-5618",
        "authorized_official_credential": "LMHC/LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aly Landry Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.