Social Age Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MH11053 Issued in FL

Legal business name

SOCIAL AGE COUNSELING, LLC

Practice address

12667 82ND LN N
West Palm Beach, FL 33412-2267

Phone

(561) 876-5100

NPI assigned

Dec 30, 2017

Last updated

Dec 30, 2017By 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. Sigrid Allen, MS, RIMHCNPI 1184127391

Title

Owner

Phone

(561) 876-5100

Specialties & licenses 1

Addresses

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.

• Sigrid Allen, MS, RIMHC

  • Counselor
  • West Palm Beach, FL
  • NPI 1184127391
  NPD (past) Authorized official

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514592000000",
    "number": "1386151215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12667 82ND LN N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122267",
            "telephone_number": "561-876-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12667 82ND LN N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122267",
            "telephone_number": "561-876-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL AGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-876-5100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RIMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MH11053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Snyder, PHARMD
• Andrew Soares, DMD
• Maria Del Carmen Sobrepera Hernandez, RBT
• Dasleinys Soca Toledo
• Aylen Socarras
• Social Groupe LLC (The Social Groupe)
• Socra Health LLC
• Melissa Sodoma, LMHC
• Michael Sofianos Jr., DMD
• Kenneth Sohn, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.