NPIMap

Organization Active NPI

Palm Beach Counseling and Behavioral Health, Inc.

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1316353899
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PALM BEACH COUNSELING AND BEHAVIORAL HEALTH, INC.
Practice address
2200 N. Florida Mango Rd.
Suite 302
West Palm Beach, FL 33409
Phone
(954) 483-6216
Fax
(954) 208-0462
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nichole GaryNPI 1932516952
Title
Ceo
Phone
(954) 483-6216

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2200 N. Florida Mango Rd.
Suite 302
West Palm Beach, FL 33409

Mailing address

2200 N. Florida Mango Rd
Suite 302
West Palm Beach, FL 33409
Phone (954) 483-6216

Other names 1

  • Palm Beach Medical Practice Management, Inc. Other name

National Provider Directory

National Provider Directory

Locations

2200 N Florida Mango Rd
Ste 302
West Palm Beach, FL 33409
Phone (954) 483-6216

Practitioners & affiliated clinicians

Practitioners 3

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": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316353899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N. FLORIDA MANGO RD",
            "address_2": "SUITE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "954-483-6216",
            "fax_number": "954-208-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N. FLORIDA MANGO RD.",
            "address_2": "SUITE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "954-483-6216",
            "fax_number": "954-208-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH COUNSELING AND BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-483-6216"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Medical Practice Management, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.