Organization Active NPI

Authentic Mind Counseling, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1376378349
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUTHENTIC MIND COUNSELING, LLC
Practice address
100 W Lucerne Cir Ste 100-R
Orlando, FL 32801-3763
Phone
(407) 630-9311
NPI assigned
Sep 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Authorized official

Name
Ms. Veronica-Jo Prisco, LCSWNPI 1558928853
Title
Manager
Phone
(772) 201-3224

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 W Lucerne Cir Ste 100-R
Orlando, FL 32801-3763

Mailing address

331 Fern Lake Dr
Orlando, FL 32825-5028
Phone (772) 201-3224

National Provider Directory

National Provider Directory

Locations

100 W Lucerne Cir
Ste 100R
Orlando, FL 32801
Phone (407) 630-9311

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725667200000",
    "number": "1376378349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 FERN LAKE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255028",
            "telephone_number": "772-201-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LUCERNE CIR STE 100-R",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013763",
            "telephone_number": "407-630-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC MIND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A",
        "authorized_official_last_name": "PRISCO",
        "authorized_official_first_name": "VERONICA-JO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-201-3224",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.