Episcopal Counseling Center of West Volusia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EPISCOPAL COUNSELING CENTER OF WEST VOLUSIA

Practice address

319 W Wisconsin Ave
Deland, FL 32720-4132

Phone

(386) 734-3101

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Jesse Fox, PH.D.

Title

Executive Director

Phone

(386) 734-3101

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 2

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

• Beverly Carter Brim, LMHC

  • Mental Health Counselor
  • Deland, FL
  • NPI 1265412209
  NPD (past)
• Dianne Briggs Goshorn, M. ED., LMHC

  • Mental Health Counselor
  • Deland, FL
  • NPI 1700056470
  NPD (past)

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1356969075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W WISCONSIN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W WISCONSIN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204132",
            "telephone_number": "386-734-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL COUNSELING CENTER OF WEST VOLUSIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-734-3101",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "counseling@stbarnabaschurchdeland.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "319 W Wisconsin Ave",
            "city": "Deland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327204132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "counseling@stbarnabaschurchdeland.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "319 W Wisconsin Ave",
            "city": "Deland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327204132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Deland, FL
• Providers in Deland, 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 Jul 9, 2020; 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.