Active NPI
Good Shepherd Counseling, LLC
- Mental Health Counselor
- Orange City, FL
National Provider Identifier
1346905916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GOOD SHEPHERD COUNSELING, LLC
- Practice address
- 265 E Graves Ave
Orange City, FL 32763-5213 - Phone
- (386) 624-2177
- NPI assigned
- Nov 8, 2021
- 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
- Mr. David Allan Spellman, LMHC, LMFT, NCC
- Title
- Owner
- Phone
- (386) 624-2177
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
265 E Graves Ave
Orange City, FL 32763-5213
Mailing address
265 E Graves Ave
Orange City, FL 32763-5213
Phone (386) 624-2177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609207216 | Other | FL | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Orange City, FL
- NPI 1609207216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636329600000",
"number": "1346905916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 E GRAVES AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327635213",
"telephone_number": "386-624-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 E GRAVES AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327635213",
"telephone_number": "386-624-2177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A",
"authorized_official_last_name": "SPELLMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-624-2177",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMHC, LMFT, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1609207216",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.