Organization Active NPI

Counseling Solutions of Northeast Florida Inc

  • Other Technician
  • Jacksonville, FL
National Provider Identifier
1417352543
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
COUNSELING SOLUTIONS OF NORTHEAST FLORIDA INC
Practice address
9951 Atlantic Blvd Ste 174
Jacksonville, FL 32225-6592
Phone
(863) 692-6802
Fax
(800) 878-0637
NPI assigned
Oct 31, 2014
Last updated
Oct 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Mr. Paul B Whittingham Sr., CAMSII, BS
Title
Pres/Ceo
Phone
(863) 692-6802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Primary

Addresses

Primary practice location

9951 Atlantic Blvd Ste 174
Jacksonville, FL 32225-6592

Mailing address

9951 Atlantic Blvd Ste 174
Jacksonville, FL 32225-6592
Phone (863) 692-6802

National Provider Directory

National Provider Directory

Locations

9951 Atlantic Blvd
Ste 174
Jacksonville, FL 32225
Phone (863) 692-6802

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1417352543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 174",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256592",
            "telephone_number": "863-692-6802",
            "fax_number": "800-878-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 174",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256592",
            "telephone_number": "863-692-6802",
            "fax_number": "800-878-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SOLUTIONS OF NORTHEAST FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "WHITTINGHAM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "863-692-6802",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CAMSII, BS"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.