Fenix Counseling Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH7884 Issued in FL

Legal business name

FENIX COUNSELING CENTER, INC

Practice address

8201 Peters Rd
Suite 1000
Plantation, FL 33324-3265

Phone

(954) 916-2618

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Cristobal J Gonzalez, LMHC

Title

President

Phone

(305) 788-6553

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1326428814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD",
            "address_2": "SUITE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243265",
            "telephone_number": "954-916-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD",
            "address_2": "SUITE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243265",
            "telephone_number": "954-916-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CRISTOBAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-788-6553",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7884",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MH7884",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "MH7884",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MH7884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265452627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Fein, MD
• Joel S Feiss, MD
• Ean Galper Feldman, MD, MS
• Mark Samuel Feldman, M.D.
• Patrick Louis Fenelus, D.C.
• Gabor Imre Ferenczy, M.D.
• Haley Ferguson, MA
• Rachel Starr Ferguson, OTD, OTR/L
• Sara Ferguson, PSYD
• Lori Ferman, LMFT

• Community/Behavioral Health Agency in Plantation, FL
• Providers in Plantation, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.