Organization Active NPI

Synchronized Counseling Group

  • Mental Health Counselor
  • Lehigh Acres, FL
National Provider Identifier
1194405951
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SYNCHRONIZED COUNSELING GROUP
Practice address
602 Michael Ave
Lehigh Acres, FL 33936-1046
Phone
(321) 800-8611
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Ismary Lopez, LMHCNPI 1306364286
Title
Owner
Phone
(321) 800-8611

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

602 Michael Ave
Lehigh Acres, FL 33936-1046

Mailing address

602 Michael Ave
Lehigh Acres, FL 33936-1046
Phone (321) 800-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231229001455 FL Part B Supplier - Clinic/Group Practice 2466802616 Receives reassigned benefits from 2 practitioners
Practice locations: Lehigh Acres, FL; Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

1400 Kimdale St E
Ste 5
Lehigh Acres, FL 33936
Phone (321) 800-8611

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": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1194405951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MICHAEL AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361046",
            "telephone_number": "321-800-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MICHAEL AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361046",
            "telephone_number": "321-800-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONIZED COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ISMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-800-8611",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.