Active NPI
TGK Counseling Service LLC
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1457955130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TGK COUNSELING SERVICE LLC
- Practice address
- 1317 Edgewater Dr # 580
Orlando, FL 32804-6350 - Phone
- (941) 564-7987
- Fax
- (941) 761-5815
- NPI assigned
- Nov 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Gonzalez-Kurzy, LMHC-S, NCC
- Title
- Practice Manager
- Phone
- (941) 564-7987
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1317 Edgewater Dr # 580
Orlando, FL 32804-6350
Mailing address
1317 Edgewater Dr # 580
Orlando, FL 32804-6350
Phone (941) 564-7987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12758890 | Other | FL | CAQU |
| 013793100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Orlando, FL
- NPI 1184890360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1457955130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 EDGEWATER DR # 580",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046350",
"telephone_number": "941-564-7987",
"fax_number": "941-761-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 EDGEWATER DR # 580",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046350",
"telephone_number": "941-564-7987",
"fax_number": "941-761-5815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TGK COUNSELING SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "GONZALEZ-KURZY",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "941-564-7987",
"authorized_official_credential": "LMHC-S, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQU",
"identifier": "12758890",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013793100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.