Active NPI
Altis Counseling LLC
- Mental Health Counselor
- Miramar, FL
National Provider Identifier
1497212955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ALTIS COUNSELING LLC
- Practice address
- 11820 Miramar Pkwy Ste 304
Miramar, FL 33025-5820 - Phone
- (786) 886-4631
- NPI assigned
- Feb 20, 2019
- 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
- Ms. Eva Abad, LMHC
- Title
- Director
- Phone
- (786) 838-9568
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
11820 Miramar Pkwy Ste 304
Miramar, FL 33025-5820
Mailing address
PO Box 772002
Ocala, FL 34477-2002
Phone (786) 886-4631
Other names 1
- Integrative Counseling
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
- Miramar, FL
- NPI 1033542543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1497212955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772002",
"city": "OCALA",
"state": "FL",
"postal_code": "344772002",
"telephone_number": "786-886-4631",
"fax_number": "720-265-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 MIRAMAR PKWY STE 304",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330255820",
"telephone_number": "786-886-4631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTIS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-20",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "ABAD",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "786-838-9568",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.