Organization Active NPI

Mr. Ed'S Circle of Trust, Inc.

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1194356386
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MR. ED'S CIRCLE OF TRUST, INC.
Practice address
4404 S. Florida Ave.
Suite 14
Lakeland, FL 33813-2124
Phone
(863) 583-4766
Fax
(850) 270-6733
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Authorized official

Name
Dr. Franklin Edward Shoemaker, LMHCNPI 1447408166
Title
President/Ceo
Phone
(863) 899-2162

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 Primary

Addresses

Primary practice location

4404 S. Florida Ave.
Suite 14
Lakeland, FL 33813-2124

Mailing address

4404 S Florida Ave Ste 6B
Lakeland, FL 33813-2124
Phone (863) 583-4766

Other names 1

  • The Center for Faith Based Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

4404 S Florida Ave
Ste 6B
Lakeland, FL 33813

4404 S Florida Ave
Ste 14
Lakeland, FL 33813
Phone (863) 583-4766

Practitioners & affiliated clinicians

Practitioners 2

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1194356386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE STE 6B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132124",
            "telephone_number": "863-583-4766",
            "fax_number": "850-270-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 S. FLORIDA AVE.",
            "address_2": "SUITE 14",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132124",
            "telephone_number": "863-583-4766",
            "fax_number": "850-270-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. ED'S CIRCLE OF TRUST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "863-899-2162",
        "authorized_official_name_prefix": "Dr.",
        "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": "The Center for Faith Based Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center for Faith Based Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; 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.