Organization Active NPI

Adult & Adolescent Counseling

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1225209802
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 6848 Issued in FL
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

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Cary Edward Evans, LMHCNPI 1811011752
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MH6848 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.