Clinical Counseling & Consulting P.a.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CLINICAL COUNSELING & CONSULTING P.A.

Practice address

4601 Ponce de Leon Blvd
Suite 260
Coral Gables, FL 33146-2111

Phone

(786) 763-2019

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Jenny V Betancourt, LMHC, CAP, NCC

Title

Owner/Licensed Psychotherapist

Phone

(305) 778-5333

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1437685310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 SW 44TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555141",
            "telephone_number": "786-763-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PONCE DE LEON BLVD",
            "address_2": "SUITE 260",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462111",
            "telephone_number": "786-763-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL COUNSELING & CONSULTING P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "305-778-5333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, CAP, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH12372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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