Active NPI
A Counseling Center, Inc.
- Clinical Social Worker
- Cocoa, FL
National Provider Identifier
1295848703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- A COUNSELING CENTER, INC.
- Practice address
- 690 Friday Rd
Cocoa, FL 32926-3317 - Phone
- (321) 636-9941
- Fax
- (321) 636-0915
- NPI assigned
- Aug 17, 2006
- 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
- Marianne Jones, LCSW
- Title
- President
- Phone
- (321) 636-9941
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
690 Friday Rd
Cocoa, FL 32926-3317
Mailing address
690 Friday Rd
Cocoa, FL 32926-3317
Phone (321) 636-9941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z114A | Other | FL | BC/BS GROUP PROVIDER # |
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050629000272 | FL | Part B Supplier - Clinic/Group Practice | 5395781488 |
Receives reassigned benefits from 2 practitioners Practice locations: Cocoa, FL |
National Provider Directory
National Provider Directory- Tax ID family
- A Counseling Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Cocoa, FL
- NPI 1942403217
Locations
1900 Palm Bay Rd NE
Ste D
Palm Bay, FL 32905
Phone (321) 208-1316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295848703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 FRIDAY RD",
"city": "COCOA",
"state": "FL",
"postal_code": "329263317",
"telephone_number": "321-636-9941",
"fax_number": "321-636-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 FRIDAY RD",
"city": "COCOA",
"state": "FL",
"postal_code": "329263317",
"telephone_number": "321-636-9941",
"fax_number": "321-636-0915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A COUNSELING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MARIANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-636-9941",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP PROVIDER #",
"identifier": "Z114A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.