Organization Active NPI

Counseling and Recovery Center, Inc.

  • Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1447345574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1556AD805100 Issued in FL
Legal business name
COUNSELING AND RECOVERY CENTER, INC.
Practice address
4753 Orange Ave
Fort Pierce, FL 34947-3410
Phone
(772) 467-3057
Fax
(772) 467-3059
NPI assigned
Oct 4, 2006
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
Jill Marie Arnold, LMHC
Title
Executive Director
Phone
(772) 467-3057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1556AD805100 FL Primary

Addresses

Primary practice location

4753 Orange Ave
Fort Pierce, FL 34947-3410

Mailing address

4753 Orange Ave
Fort Pierce, FL 34947-3410
Phone (772) 467-3057

National Provider Directory

National Provider Directory

Locations

4753 Orange Ave
Fort Pierce, FL 34947
Phone (772) 467-3057

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447345574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 ORANGE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349473410",
            "telephone_number": "772-467-3057",
            "fax_number": "772-467-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 ORANGE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349473410",
            "telephone_number": "772-467-3057",
            "fax_number": "772-467-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-467-3057",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "1556AD805100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, 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.