NPIMap

Organization Active NPI

Core Counseling Service Inc

  • Clinical Social Worker
  • Port Orange, FL
National Provider Identifier
1285791764
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
720 Issued in FL
Legal business name
CORE COUNSELING SERVICE INC
Practice address
4319 So Ridgewood Ave
Port Orange, FL 32127
Phone
(386) 756-2405
Fax
(386) 756-7518
NPI assigned
Jan 3, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mr. Emilio A Yonta, LCSWNPI 1447421201
Title
Psychotherapist Director
Phone
(386) 756-2405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 720 FL Primary

Addresses

Primary practice location

4319 So Ridgewood Ave
Port Orange, FL 32127

Mailing address

4319 So Ridgewood Ave
Port Orange, FL 32127
Phone (386) 756-2405

Other names 1

  • Emilio A Yonta LCSW PhD Other name

National Provider Directory

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, 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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1285791764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 SO RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-756-2405",
            "fax_number": "386-756-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 SO RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-756-2405",
            "fax_number": "386-756-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE COUNSELING SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "YONTA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST DIRECTOR",
        "authorized_official_telephone_number": "386-756-2405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emilio A Yonta LCSW PhD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.