Organization Active NPI

Hallandale Counseling Inc

  • Clinical Psychologist
  • Ormond Beach, FL
National Provider Identifier
1376877183
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3869 Issued in FL
Legal business name
HALLANDALE COUNSELING INC
Practice address
595 W. Granada Blvd
Suite H
Ormond Beach, FL 32174
Phone
(386) 677-3995
Fax
(386) 677-7797
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Argene K Danielioes, LICENSED PH.D
Title
Clinical Psychologist
Phone
(386) 677-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY3869 FL Primary

Addresses

Primary practice location

595 W. Granada Blvd
Suite H
Ormond Beach, FL 32174

Mailing address

595 W. Granada Blvd
Suite H
Ormond Beach, FL 32174
Phone (386) 677-3995

Other identifiers 1

IdentifierTypeStateIssuer
205861700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091203000252 FL Part B Supplier - Clinic/Group Practice 2062551187 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond BCH, FL

National Provider Directory

National Provider Directory

Locations

1140 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-3995

595 W Granada Blvd
Ste H
Ormond Beach, FL 32174
Phone (386) 677-3995

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": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1376877183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W. GRANADA BLVD",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-677-3995",
            "fax_number": "386-677-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W. GRANADA BLVD",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-677-3995",
            "fax_number": "386-677-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLANDALE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "DANIELIOES",
        "authorized_official_first_name": "ARGENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "386-677-3995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LICENSED PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205861700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.