Counseling and Mediation Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH8305 Issued in FL

Legal business name

COUNSELING AND MEDIATION SERVICES, INC.

Practice address

619 N Cove Blvd
Suite a
Panama City, FL 32401-3642

Phone

(850) 819-1068

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Allen Dale Marks, ED.D.

Title

President/LMHC

Phone

(850) 819-1068

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1306118542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N COVE BLVD",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013642",
            "telephone_number": "850-819-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N COVE BLVD",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013642",
            "telephone_number": "850-819-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND MEDIATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT/LMHC",
        "authorized_official_telephone_number": "850-819-1068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH8305",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH8305",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8305",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH8305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.