NPIMap

Organization Active NPI

Palm Harbor Family Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Palm Harbor, FL
National Provider Identifier
1255734935
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
SW11944 Issued in FL
Legal business name
PALM HARBOR FAMILY COUNSELING CENTER
Practice address
700 Village Way
Palm Harbor, FL 34683-2935
Phone
(727) 254-9183
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Ms. Diane J Mandell, LCSW, MSSA
Title
Owner
Phone
(727) 254-9183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X SW11944 FL Primary

Addresses

Primary practice location

700 Village Way
Palm Harbor, FL 34683-2935

Mailing address

350 Alternate 19
Suite C
Palm Harbor, FL 34683
Phone (727) 254-9183

National Provider Directory

National Provider Directory
Tax ID family
Family Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1255734935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ALTERNATE 19",
            "address_2": "SUITE C",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-254-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLAGE WAY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832935",
            "telephone_number": "727-254-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "MANDELL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-254-9183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MSSA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "SW11944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.