Active NPI
Courtney Cavall LMHC LLC
- Mental Health Counselor
- Zephyrhills, FL
National Provider Identifier
1255941209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- COURTNEY CAVALL LMHC LLC
- Practice address
- 4803 Seaberg Rd
Zephyrhills, FL 33541-2862 - Phone
- (954) 649-6592
- NPI assigned
- Aug 5, 2020
- Last updated
- Jan 14, 2021
- 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
- Courtney Cavall, LMHC
- Title
- MBR
- Phone
- (954) 649-6592
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Group Psychotherapy Psychologist | 103TP2701X | NU |
Addresses
Primary practice location
4803 Seaberg Rd
Zephyrhills, FL 33541-2862
Mailing address
4803 Seaberg Rd
Zephyrhills, FL 33541-2862
Phone (954) 649-6592
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590688286 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR, LMHC, MH 10216. FLORIDA DEPARTMENT OF HEALTH |
| 024475500 | Medicaid | FL | |
| 024451900 | Medicaid | FL | |
| 108005400 | Medicaid | FL |
Other names 1
- Courtney Cavall
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, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Zephyrhills, FL
- NPI 1326354424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610582400000",
"number": "1255941209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 SEABERG RD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335412862",
"telephone_number": "954-649-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4803 SEABERG RD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335412862",
"telephone_number": "954-649-6592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURTNEY CAVALL LMHC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-05",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A",
"authorized_official_last_name": "CAVALL",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "954-649-6592",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH COUNSELOR, LMHC, MH 10216. FLORIDA DEPARTMENT OF HEALTH",
"identifier": "590688286",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024475500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024451900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108005400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Courtney Cavall",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.