Organization Active NPI

Take Flight Counseling & Consulting, LLC

  • Mental Health Counselor
  • Vero Beach, FL
National Provider Identifier
1508470550
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TAKE FLIGHT COUNSELING & CONSULTING, LLC
Practice address
505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710
Phone
(772) 202-0178
NPI assigned
Sep 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Mrs. Demetria Marria Williams, LMHCNPI 1134587504
Title
Ceo
Phone
(772) 202-0178

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

505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710

Mailing address

505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710
Phone (772) 202-0178

National Provider Directory

National Provider Directory

Locations

505 Beachland Blvd
Ste 12027
Vero Beach, FL 32963
Phone (772) 202-0178

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1508470550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BEACHLAND BLVD STE 1-2027",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631710",
            "telephone_number": "772-202-0178",
            "fax_number": "772-672-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BEACHLAND BLVD STE 1-2027",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631710",
            "telephone_number": "772-202-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE FLIGHT COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-06",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_middle_name": "MARRIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-202-0178",
        "authorized_official_name_prefix": "Mrs.",
        "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 Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.