Organization Active NPI

Child Advocacy Center

  • Counselor
  • Gainesville, FL
National Provider Identifier
1386602415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CHILD ADVOCACY CENTER
Practice address
2720 NE 20TH Way
Gainesville, FL 32609-3351
Phone
(352) 376-9161
Fax
(352) 376-9165
NPI assigned
May 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sherry Kitchens, ED.S., LMFT
Title
Director
Phone
(352) 376-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2720 NE 20TH Way
Gainesville, FL 32609-3351

Mailing address

PO Box 1128
Gainesville, FL 32602-1128
Phone (352) 376-9161

National Provider Directory

National Provider Directory

Locations

2720 NE 20th Way
Gainesville, FL 32609
Phone (352) 376-9161

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386602415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326021128",
            "telephone_number": "352-376-9161",
            "fax_number": "352-376-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 NE 20TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093351",
            "telephone_number": "352-376-9161",
            "fax_number": "352-376-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KITCHENS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-376-9161",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.