Active NPI
Maitri Counseling Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Inverness, FL
National Provider Identifier
1265922017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MAITRI COUNSELING SERVICES, LLC
- Practice address
- 101 S Osceola Ave
Inverness, FL 34452-4727 - Phone
- (561) 202-5532
- NPI assigned
- May 17, 2018
- 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
- Ms. Heather Ann Champion, MA, LMHC
- Title
- Owner
- Phone
- (561) 231-8860
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
101 S Osceola Ave
Inverness, FL 34452-4727
Mailing address
5700 S Utopia Ter
Inverness, FL 34452-8568
Phone (561) 202-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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.
-
- Mental Health Counselor
- Inverness, FL
- NPI 1417353194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725062400000",
"number": "1265922017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 S UTOPIA TER",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344528568",
"telephone_number": "561-202-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S OSCEOLA AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524727",
"telephone_number": "561-202-5532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAITRI COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-17",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A",
"authorized_official_last_name": "CHAMPION",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-231-8860",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.