NPIMap

Organization Active NPI

A & B Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1508327628
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
A & B COUNSELING SERVICES LLC
Practice address
3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone
(305) 608-9534
Fax
(954) 965-4532
NPI assigned
Mar 29, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Allen Jay Blenden
Title
Authorized Official
Phone
(954) 533-2306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396

Mailing address

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (305) 608-9534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190726001094 FL Part B Supplier - Clinic/Group Practice 6103152269 Receives reassigned benefits from 118 practitioners
Practice locations: Fort Lauderdale, FL
O20210128000525 TX Part B Supplier - Clinic/Group Practice 6103152269 Receives reassigned benefits from 8 practitioners
Practice locations: Belton, TX

National Provider Directory

National Provider Directory

Locations

2900 N Quinlan Park Rd
Ste 240
Austin, TX 78732

2900 N Quinlan Park Rd
Ste 240305
Austin, TX 78732

Practitioners & affiliated clinicians

Practitioners 130

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.

View all 130

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508327628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 LAUREL OAK ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126396",
            "telephone_number": "305-608-9534",
            "fax_number": "954-965-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 LAUREL OAK ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126396",
            "telephone_number": "305-608-9534",
            "fax_number": "954-965-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & B COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BLENDEN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-533-2306"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.