Organization Active NPI

Get Off the Couch Counseling, LLC

  • Clinical Social Worker
  • Palm Coast, FL
National Provider Identifier
1417430240
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11095 Issued in FL
Legal business name
GET OFF THE COUCH COUNSELING, LLC
Practice address
50 Leanni Way Unit C4
Palm Coast, FL 32137-4755
Phone
(386) 627-8156
NPI assigned
Sep 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Kimberly Devine, LCSWNPI 1881962504
Title
Owner/Therapist
Phone
(386) 867-8156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11095 FL Primary

Addresses

Primary practice location

50 Leanni Way Unit C4
Palm Coast, FL 32137-4755

Mailing address

50 Leanni Way Unit C4
Palm Coast, FL 32137-4755
Phone (386) 627-8156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181110000055 FL Part B Supplier - Clinic/Group Practice 9032463062 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Coast, FL

National Provider Directory

National Provider Directory

Locations

2561 Moody Blvd
Ste 2
Flagler Beach, FL 32136
Phone (386) 627-8156

Practitioners & affiliated clinicians

Practitioners 4

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": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1417430240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT C4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374755",
            "telephone_number": "386-627-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT C4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374755",
            "telephone_number": "386-627-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GET OFF THE COUCH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "386-867-8156",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.