Organization Active NPI

Courtney Cavall LMHC LLC

  • Mental Health Counselor
  • Zephyrhills, FL
National Provider Identifier
1255941209
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Courtney Cavall, LMHCNPI 1326354424
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590688286OtherFLLICENSED MENTAL HEALTH COUNSELOR, LMHC, MH 10216. FLORIDA DEPARTMENT OF HEALTH
024475500MedicaidFL
024451900MedicaidFL
108005400MedicaidFL

Other names 1

  • Courtney Cavall Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.