Organization Active NPI

Anderson Agape Counseling Services, LLC

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1225672983
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANDERSON AGAPE COUNSELING SERVICES, LLC
Practice address
211 E 11TH St Ste B
Panama City, FL 32401-2938
Phone
(850) 624-4073
NPI assigned
Nov 5, 2019
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Tammy D Anderson, LMHCNPI 1750945192
Title
Therapist
Phone
(850) 624-4073

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

211 E 11TH St Ste B
Panama City, FL 32401-2938

Mailing address

211 E 11TH St Ste B
Panama City, FL 32401-2938
Phone (850) 624-4073

Other names 1

  • ANDERSON AGAPE COUNSELING SERVICES, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL andersonagapelmhc@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

211 E 11th St
#B
Panama City, FL 32401
Phone (850) 624-4073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1225672983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 11TH ST STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012938",
            "telephone_number": "850-624-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 11TH ST STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012938",
            "telephone_number": "850-624-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON AGAPE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "850-624-4073",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "andersonagapelmhc@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 E 11th St Ste B",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324012938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ANDERSON AGAPE COUNSELING SERVICES, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.