Active NPI
Capital City Therapy
- Mental Health Counselor
- Tallahassee, FL
National Provider Identifier
1508364118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CAPITAL CITY THERAPY
- Practice address
- 1931 Welby Way Ste 3
Tallahassee, FL 32308-4473 - Phone
- (850) 219-0973
- Fax
- (850) 574-0513
- NPI assigned
- Jan 29, 2018
- 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
- Karen K Fleming, RN
- Title
- Owner
- Phone
- (850) 219-0973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1931 Welby Way Ste 3
Tallahassee, FL 32308-4473
Mailing address
1931 Welby Way Ste 3
Tallahassee, FL 32308-4473
Phone (850) 219-0973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517184000000",
"number": "1508364118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 WELBY WAY STE 3",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084473",
"telephone_number": "850-219-0973",
"fax_number": "850-574-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 WELBY WAY STE 3",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084473",
"telephone_number": "850-219-0973",
"fax_number": "850-574-0513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL CITY THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-219-0973",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
- Capital City Music Therapy, LLC
- Capital City Oasis Home Care LLC
- Capital City Oasis Home Care LLC
- Capital City Surgery Center of Florida LLC
- Capital City Surgical Center LLC
- Capital Eye Consultants, PA
- Capital Health Care Associates LLC (Capital Healthcare Center)
- Capital Health Plan Inc (CHP Urgent Care)
- Capital Health Plan Inc (CHP Gov Sq)
- Capital Health Plan, Inc (CHP Wound Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.