Center for Relationship Development Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 3806 Issued in FL

Legal business name

CENTER FOR RELATIONSHIP DEVELOPMENT INC

Practice address

2802 Aloma Ave Ste 102
Winter Park, FL 32792-3532

Phone

(407) 415-0206

Fax

(407) 628-3300

NPI assigned

Mar 20, 2012

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan Elizabeth Sheppard, LMHCNPI 1275651440

Title

President

Phone

(407) 415-0206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Susan Elizabeth Sheppard, LMHC

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1275651440
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1457626616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ALOMA AVE",
            "address_2": "STE. 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923532",
            "telephone_number": "407-415-0206",
            "fax_number": "407-628-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ALOMA AVE STE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923532",
            "telephone_number": "407-415-0206",
            "fax_number": "407-628-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RELATIONSHIP DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-415-0206",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 3806",
            "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 Jan 23, 2024; 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.