Lakeland Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 2300 Issued in FL

Legal business name

LAKELAND COUNSELING LLC

Practice address

3221 S Florida Ave
Lakeland, FL 33803-4550

Phone

(863) 614-0034

Fax

(863) 937-0284

NPI assigned

Oct 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Donald Willets, LMHCNPI 1073508305

Title

Manager

Phone

(863) 614-0034

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Donald Fred Willets, LMHC

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1073508305
  NPD Authorized official

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1326475708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91872",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338041872",
            "telephone_number": "863-614-0034",
            "fax_number": "863-937-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034550",
            "telephone_number": "863-614-0034",
            "fax_number": "863-937-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "WILLETS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-614-0034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 2300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073508305",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lakeland Dental Professionals PLLC
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• Lakeland Eye Clinic PA
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• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.