Central Counseling Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CENTRAL COUNSELING SERVICES, LLC

Practice address

630 W Adams St
Ste 303
Jacksonville, FL 32204-1645

Phone

(904) 742-5835

Fax

(904) 212-0056

NPI assigned

Jul 24, 2009

Organization subpart

No

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

Authorized official

Name

Judy Walker Granger, MS,CAP,ICADC,CMHPNPI 1922128164

Title

Owner

Phone

(904) 742-5835

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Central Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1669742888
  NPD tax ID

Locations

Practitioners 1

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

• Judy Walker-Granger, MS,CAP,ICADC,CMHP

  • Case Manager/Care Coordinator
  • Jacksonville, FL
  • NPI 1922128164
  NPD Authorized official

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1497985360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W ADAMS ST",
            "address_2": "STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041645",
            "telephone_number": "904-742-5835",
            "fax_number": "904-212-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W ADAMS ST",
            "address_2": "STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041645",
            "telephone_number": "904-742-5835",
            "fax_number": "904-212-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "WALKER GRANGER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-742-5835",
        "authorized_official_credential": "MS,CAP,ICADC,CMHP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000781700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jacksonville, FL
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.