Organization Active NPI

Agape Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburndale, FL
National Provider Identifier
1295595098
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AGAPE COUNSELING SERVICES, INC
Practice address
601 Stadium Rd
Auburndale, FL 33823-3344
Phone
(863) 258-5569
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Sharalyn Rae Vester, LMHCNPI 1285216465
Title
Owner/Ceo
Phone
(863) 258-5569

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

601 Stadium Rd
Auburndale, FL 33823-3344

Mailing address

PO Box 57
Polk City, FL 33868-0057
Phone (863) 258-5569

National Provider Directory

National Provider Directory

Locations

601 Stadium Rd
Auburndale, FL 33823
Phone (863) 258-5569

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1295595098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338680057",
            "telephone_number": "863-258-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STADIUM RD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233344",
            "telephone_number": "863-258-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "VESTER",
        "authorized_official_first_name": "SHARALYN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "863-258-5569",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.