Organization Active NPI

Mr. Ed's Family & Education Intervention Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeland, FL
National Provider Identifier
1518344332
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH13244 Issued in FL
Legal business name
MR. ED'S FAMILY & EDUCATION INTERVENTION SERVICES, INC.
Practice address
231 N Tennessee Ave Ste 300
Lakeland, FL 33801-4970
Phone
(863) 899-2162
Fax
(850) 270-6733
NPI assigned
Apr 30, 2015
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Franklin E Shoemaker, LMHCNPI 1447408166
Title
President/Licensed Mental Health Co
Phone
(863) 899-2161

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
Community/Behavioral Health Agency 251S00000X MH13244 FL Primary

Addresses

Primary practice location

231 N Tennessee Ave Ste 300
Lakeland, FL 33801-4970

Mailing address

4733 San Antonio Dr
Lakeland, FL 33813-2083
Phone (863) 899-2162

National Provider Directory

National Provider Directory

Locations

231 N Tennessee Ave
Ste 300
Lakeland, FL 33801
Phone (863) 899-2162

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1518344332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 SAN ANTONIO DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132083",
            "telephone_number": "863-899-2162",
            "fax_number": "850-270-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N TENNESSEE AVE STE 300",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014970",
            "telephone_number": "863-899-2162",
            "fax_number": "850-270-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. ED'S FAMILY & EDUCATION INTERVENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED MENTAL HEALTH CO",
        "authorized_official_telephone_number": "863-899-2161",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH13244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.