Active NPI
Courtney Patterson
- Mental Health Counselor
- Davie, FL
National Provider Identifier
1245592989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3538 S University Dr
Davie, FL 33328-2003 - Phone
- (954) 424-6911
- Fax
- (954) 497-3857
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3538 S University Dr
Davie, FL 33328-2003
Mailing address
4740 N State Road 7
Suite 201
Lauderdale Lakes, FL 33319-5839
Phone (954) 486-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1245592989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 N STATE ROAD 7",
"address_2": "SUITE 201",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195839",
"telephone_number": "954-486-4005",
"fax_number": "954-486-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3538 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282003",
"telephone_number": "954-424-6911",
"fax_number": "954-497-3857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.