Pastoral Counseling Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PASTORAL COUNSELING SERVICES, INC.

Doing business as

Pastoral Counseling Services

Practice address

2140 Mango PL
Jacksonville, FL 32207-3326

Phone

(904) 398-2437

Fax

(904) 346-3064

NPI assigned

Jan 8, 2007

Last updated

Oct 11, 2016By 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

Mr. Clifton Earl Thomas

Title

Development Director

Phone

(904) 398-2437

Specialties & licenses 3

Addresses

Other names 1

• Pastoral Counseling Services Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1215085311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MANGO PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073326",
            "telephone_number": "904-398-2437",
            "fax_number": "904-346-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MANGO PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073326",
            "telephone_number": "904-398-2437",
            "fax_number": "904-346-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "DEVELOPMENT DIRECTOR",
        "authorized_official_telephone_number": "904-398-2437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MFT1294",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "IMH14246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pastoral Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Passion of Care LLC
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• Passionate Hands LLC
• Passport Health Holdings, LLC (Passport Health)
• Madysen Ann Pastorello-Bailey, BEHAVIOR TECHNICIAN
• Craig T Pastuck, M.S., CCC-SLP
• Robert Micah Pastula
• Deepak Kumar Pasupula, MD, MPH
• Joanna Patane-Hopkins, RN

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Oct 11, 2016; 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.