Revealed Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REVEALED COUNSELING CENTER

Practice address

4610 Portofino Way
207
West Palm Beach, FL 33409-8154

Phone

(561) 557-2741

Fax

(561) 469-2447

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

TD McNutt, DR.

Title

Founder/Visionary

Phone

(561) 557-2741

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1255876934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223586",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334223586",
            "telephone_number": "561-557-2741",
            "fax_number": "561-469-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 PORTOFINO WAY",
            "address_2": "207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098154",
            "telephone_number": "561-557-2741",
            "fax_number": "561-469-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEALED COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "TD",
        "authorized_official_title_or_position": "FOUNDER/VISIONARY",
        "authorized_official_telephone_number": "561-557-2741",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.