Active NPI
America Counseling Services& Associates
Doing business as Changing Tree Wellness Center,Inc.
- Mental Health Counselor
- Kissimmee, FL
National Provider Identifier
1366798092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10761
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH10761 | FL | |
| Mental Health Counselor | 101YM0800X | MH10761 | FL | Primary |
| Professional Counselor | 101YP2500X | MH10761 | FL | |
| Psychoanalyst | 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.
National Provider Directory
National Provider DirectoryNPI 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.