Vista Employee Assistance & Counseling Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW002024 Issued in FL

Legal business name

VISTA EMPLOYEE ASSISTANCE & COUNSELING INC

Practice address

101 Timberlachen Cir
Suite 201
Lake Mary, FL 32746-6124

Phone

(407) 324-9440

Fax

(407) 330-5244

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia N Herzog, LCSWNPI 1336128834

Title

Owner

Phone

(407) 324-9440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia N Herzog, LCSW

  • Clinical Social Worker
  • Lake Mary, FL
  • NPI 1336128834
  Authorized official Same address or phone

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366501512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TIMBERLACHEN CIR",
            "address_2": "SUITE 201",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466124",
            "telephone_number": "407-324-9440",
            "fax_number": "407-330-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TIMBERLACHEN CIR",
            "address_2": "SUITE 201",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466124",
            "telephone_number": "407-324-9440",
            "fax_number": "407-330-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA EMPLOYEE ASSISTANCE & COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-324-9440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LCSW002024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Manuel Villalobos, M.D.
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• Rebecca C Villar, PSYD
• Kelley Elise Villegas, OTR
• Dara Madelyn Vino, PA
• Vitalgenix Health & Wellness, LLC
• Volusia County Podiatry Inc
• Volusia-Flagler Caregivers, Inc. (Homewatch Caregivers, Lake Mary/Sanford Area)
• Voncare, LLC
• Emily Lauren Waddington, CCC-SLP

• Clinical Social Worker in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.