First Step Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5716 Issued in FL

Legal business name

FIRST STEP COUNSELING CENTER

Practice address

264 Paseo Reyes Drive
St Augustine, FL 32095

Phone

(904) 610-6276

Fax

(904) 512-0474

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Patricia Capitano, LMHC

Title

Owner

Phone

(904) 610-6276

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1457739609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 PASEO REYES DRIVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32095",
            "telephone_number": "904-610-6276",
            "fax_number": "904-512-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 PASEO REYES DRIVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32095",
            "telephone_number": "904-610-6276",
            "fax_number": "904-512-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CAPITANO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-610-6276",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11028700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.