The Counseling Group PL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE COUNSELING GROUP PL

Practice address

2281 Lee Rd
Ste 206
Winter Park, FL 32789

Phone

(407) 647-4902

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

M Clark Canine, MA LMHC NCCNPI 1275545576

Title

VP Clinical Director

Phone

(407) 647-4902

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• M Clark Canine, MA LMHC NCC

  • Counselor
  • Winter Park, FL
  • NPI 1275545576
  NPD (past) Authorized official
• Unju Chung-Canine, MA LMHC NCC

  • Counselor
  • Winter Park, FL
  • NPI 1033121330
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417033689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 LEE RD",
            "address_2": "STE 206",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-647-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 LEE RD",
            "address_2": "STE 206",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-647-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING GROUP PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANINE",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "VP CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-647-4902",
        "authorized_official_credential": "MA LMHC NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Mental Health Counselor in Florida

• 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.