Organization Active NPI

America Counseling Services& Associates

Doing business as Changing Tree Wellness Center,Inc.

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1366798092
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10761 Issued in FL
Legal business name
AMERICA COUNSELING SERVICES& ASSOCIATES
Doing business as
Changing Tree Wellness Center,Inc.
Practice address
120 Broadway Ste 206
Kissimmee, FL 34741-5705
Phone
(954) 696-3747
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Ellisa Scott, LMHC
Title
Exec.Director/Ceo
Phone
(954) 696-3747

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MH10761 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH10761 FL Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MH10761 FL
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X MH10761 FL

Addresses

Primary practice location

120 Broadway Ste 206
Kissimmee, FL 34741-5705

Mailing address

120 Broadway Ste 206
Kissimmee, FL 34741-5705
Phone (954) 696-3747

Other names 1

  • Changing Tree Wellness Center,Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1366798092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY STE 206",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415705",
            "telephone_number": "954-696-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROADWAY STE 206",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415705",
            "telephone_number": "954-696-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICA COUNSELING SERVICES& ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ELLISA",
        "authorized_official_title_or_position": "EXEC.DIRECTOR/CEO",
        "authorized_official_telephone_number": "954-696-3747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH10761",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10761",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH10761",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "MH10761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Tree Wellness Center,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.