Active NPI
Connect & Grow Counseling LLC
- Professional Counselor
- Naples, FL
National Provider Identifier
1245042837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CONNECT & GROW COUNSELING LLC
- Practice address
- 1350 Bald Eagle Drive
Naples, FL 34105-7415 - Phone
- (773) 971-1266
- NPI assigned
- Jan 22, 2025
- 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
- Mrs. Eva San Pedro-Koontz, M.S.
- Title
- Founder & Psychotherapist
- Phone
- (773) 971-1266
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1350 Bald Eagle Drive
Naples, FL 34105-7415
Mailing address
1350 Bald Eagle Drive
Naples, FL 34105-7415
Phone (773) 971-1266
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180012733 | Other | IL | LICENSED CLINICAL PROFESSIONAL COUNSELOR LICENSE NUMBER |
| 1982045175 | Other | IL | INDIVIDUAL NPI NUMBER/TYPE 1 NPI |
| 12583405 | Other | IL | CAQH/PROVIEW NUMBER |
Other names 1
- Connect & Grow Counseling LLC
National Provider Directory
National Provider DirectoryPractitioners & 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": "1737504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1245042837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 BALD EAGLE DRIVE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341057415",
"telephone_number": "773-971-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 BALD EAGLE DRIVE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341057415",
"telephone_number": "773-971-1266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECT & GROW COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "SAN PEDRO-KOONTZ",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "FOUNDER & PSYCHOTHERAPIST",
"authorized_official_telephone_number": "773-971-1266",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR LICENSE NUMBER",
"identifier": "180012733",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER/TYPE 1 NPI",
"identifier": "1982045175",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH/PROVIEW NUMBER",
"identifier": "12583405",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Connect & Grow Counseling LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.