Organization Active NPI

Counseling & Disability Services, LLC

  • Clinical Social Worker
  • South Daytona, FL
National Provider Identifier
1518205152
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNSELING & DISABILITY SERVICES, LLC
Practice address
1635 S Ridgewood Ave Ste 225
South Daytona, FL 32119-8478
Phone
(386) 788-5021
Fax
(386) 788-5021
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Phyllis LavignaNPI 1740547686
Title
Owner/LCSW
Phone
(386) 788-5021

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Case Management Agency 251B00000X FL
Community/Behavioral Health Agency 251S00000X SW9461 FL

Addresses

Primary practice location

1635 S Ridgewood Ave Ste 225
South Daytona, FL 32119-8478

Mailing address

1635 S Ridgewood Ave Ste 225
South Daytona, FL 32119-8478
Phone (386) 788-5021

Other identifiers 2

IdentifierTypeStateIssuer
013190700MedicaidFL
013191700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114000988 FL Part B Supplier - Clinic/Group Practice 2769618040 Receives reassigned benefits from 4 practitioners
Practice locations: South Daytona, FL

National Provider Directory

National Provider Directory

Locations

661 Beville Rd
Ste 118
South Daytona, FL 32119
Phone (386) 761-1327

1635 S Ridgewood Ave
Ste 225
South Daytona, FL 32119
Phone (386) 788-5021

Practitioners & affiliated clinicians

Practitioners 5

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": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1518205152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 S RIDGEWOOD AVE STE 225",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198478",
            "telephone_number": "386-788-5021",
            "fax_number": "386-308-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S RIDGEWOOD AVE STE 225",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198478",
            "telephone_number": "386-788-5021",
            "fax_number": "386-788-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & DISABILITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "LAVIGNA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "386-788-5021"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW9461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013190700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013191700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.