Active NPI
Adult & Adolescent Counseling
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1225209802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 6848
- Legal business name
- ADULT & ADOLESCENT COUNSELING
- Practice address
- 2630 NW 41St St Ste B
Gainesville, FL 32606-6666 - Phone
- (352) 870-8100
- Fax
- (352) 548-4998
- NPI assigned
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cary Edward Evans, LMHC
- Title
- Counselor
- Phone
- (352) 870-8100
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH6848 | FL | |
| Mental Health Counselor | 101YM0800X | MH 6848 | FL | Primary |
Addresses
Primary practice location
2630 NW 41St St Ste B
Gainesville, FL 32606-6666
Mailing address
2630 NW 41St St Ste B
Gainesville, FL 32606-6666
Phone (352) 870-8100
National Provider Directory
National Provider DirectoryLocations
2630 NW 41st St
Ste B
Gainesville, FL 32606
Phone (352) 373-4236
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Louisville, KY
- NPI 1811011752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206057600000",
"number": "1225209802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 NW 41ST ST STE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066666",
"telephone_number": "352-870-8100",
"fax_number": "352-548-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 NW 41ST ST STE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066666",
"telephone_number": "352-870-8100",
"fax_number": "352-548-4998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT & ADOLESCENT COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-21",
"last_updated": "2008-03-21",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CARY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "352-870-8100",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH6848",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 6848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Claudia Admoun, DO
- Douglas Paul Adolphson, MD
- Adonis Optical, Inc.
- Adrian Lewis, M.D.,P.a.
- Lawrence Ogagaoghene Adu, MD
- Advance Best Care Medical Services LLC
- Advanced Behavioral Consulting, LLC
- Advanced Dentistry of Gainesville PLLC
- Advanced Hospitalists Group PA
- Advanced Provder Health & Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.