Organization Active NPI

Safe Harbor Counseling and Advocacy, LLC

  • Adult Mental Health Clinic/Center
  • Winter Park, FL
National Provider Identifier
1457990772
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SAFE HARBOR COUNSELING AND ADVOCACY, LLC
Practice address
5971 Brick CT
Winter Park, FL 32792-9307
Phone
(407) 288-5553
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Dr. Jennifer Crofts, PSYDNPI 1225680184
Title
Psychologist
Phone
(407) 288-5553

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5971 Brick CT
Winter Park, FL 32792-9307

Mailing address

5971 Brick CT
Winter Park, FL 32792-9307
Phone (407) 288-5553

National Provider Directory

National Provider Directory

Locations

3680 Avalon Park East Blvd
#302
Orlando, FL 32828
Phone (407) 288-5553

3680 Avalon Park East Blvd
Unit 302
Orlando, FL 32828

5971 Brick Ct
Winter Park, FL 32792
Phone (321) 794-2711

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1457990772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 BRICK CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929307",
            "telephone_number": "407-288-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 BRICK CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929307",
            "telephone_number": "407-288-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR COUNSELING AND ADVOCACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "CROFTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-288-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.