Organization Active NPI

Positive Start Counseling Services, Inc

  • Mental Health Counselor
  • Royal Palm Beach, FL
National Provider Identifier
1518206341
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8645 Issued in FL
Legal business name
POSITIVE START COUNSELING SERVICES, INC
Practice address
11440 Okeechobee Blvd #205B
Royal Palm Beach, FL 33411-8726
Phone
(954) 817-5825
Fax
(561) 693-5514
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Mrs. Michelle Ann Fyfe, LMHCNPI 1861569493
Title
Owner
Phone
(954) 817-5825

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 2529 FL
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH8645 FL Primary

Addresses

Primary practice location

11440 Okeechobee Blvd #205B
Royal Palm Beach, FL 33411-8726

Mailing address

11440 Okeechobee Blvd #205B
Royal Palm Beach, FL 33411-8726
Phone (954) 817-5825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108000836 FL Part B Supplier - Clinic/Group Practice 1052762770 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

11440 Okeechobee Blvd
Ste 205B
Royal Palm Beach, FL 33411
Phone (561) 310-5475

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

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": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1518206341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 OKEECHOBEE BLVD #205B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118726",
            "telephone_number": "954-817-5825",
            "fax_number": "561-693-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 OKEECHOBEE BLVD #205B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118726",
            "telephone_number": "954-817-5825",
            "fax_number": "561-693-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE START COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "FYFE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-817-5825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2529",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.