Organization Active NPI

Noetic Counseling, PLLC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1467091454
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NOETIC COUNSELING, PLLC
Practice address
235 S Maitland Ave Ste 113
Maitland, FL 32751-5629
Phone
(321) 578-7084
NPI assigned
Dec 23, 2019
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Matthew Smith, LMHCNPI 1477833713
Title
Principal
Phone
(321) 578-7084

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

235 S Maitland Ave Ste 113
Maitland, FL 32751-5629

Mailing address

235 S Maitland Ave Ste 113
Maitland, FL 32751-5629
Phone (321) 578-7084

National Provider Directory

National Provider Directory

Locations

235 S Maitland Ave
Ste 113
Maitland, FL 32751
Phone (321) 578-7084

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1467091454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S MAITLAND AVE STE 113",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515629",
            "telephone_number": "321-578-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S MAITLAND AVE STE 113",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515629",
            "telephone_number": "321-578-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOETIC COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "321-578-7084",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.