Organization Active NPI

Clelland Counseling & Consulting Services, P.a.

  • Case Management Agency
  • Sebastian, FL
National Provider Identifier
1184934671
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
SW9419 Issued in FL
Legal business name
CLELLAND COUNSELING & CONSULTING SERVICES, P.A.
Practice address
620 Helicon Ter
Sebastian, FL 32958-5954
Phone
(772) 643-2838
NPI assigned
Oct 18, 2010
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Ms. Gayle L. Clelland, L.C.S.W.NPI 1598842528
Title
Psychotherapist/Owner
Phone
(772) 643-2838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SW9419 FL Primary

Addresses

Primary practice location

620 Helicon Ter
Sebastian, FL 32958-5954

Mailing address

620 Helicon Ter
Sebastian, FL 32958-5954
Phone (772) 643-2838

Other identifiers 1

IdentifierTypeStateIssuer
1598842528OtherFLINDIVIDUAL NATIONAL PROVIDER IDENTIFIER

National Provider Directory

National Provider Directory

Locations

916 20th Pl
Vero Beach, FL 32960
Phone (772) 342-8988

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1184934671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HELICON TER",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329585954",
            "telephone_number": "772-643-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HELICON TER",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329585954",
            "telephone_number": "772-643-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLELLAND COUNSELING & CONSULTING SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "CLELLAND",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "772-643-2838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "SW9419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1598842528",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.