Fort Lauderdale Couples, Family & Individual Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11689 Issued in FL

Legal business name

FORT LAUDERDALE COUPLES, FAMILY & INDIVIDUAL THERAPY

Practice address

1881 NE 26TH St
Suite 221
Wilton Manors, FL 33305-1416

Phone

(954) 789-9061

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas B Nelson, LMHCNPI 1023176146

Title

Owner

Phone

(954) 789-9061

Specialties & licenses 1

Addresses

Tax ID family

Fort Lauderdale Couples Family and Individual Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Lauderdale Couples, Family and Individual Therapy, LLC

  • Mental Health Counselor
  • Wilton Manors, FL
  • NPI 1235578808
  NPD tax ID

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.

• Douglas B Nelson, LPC

  • Professional Counselor
  • Oakton, VA
  • NPI 1023176146
  Authorized official Same address or phone

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1538530175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 221",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-789-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 221",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-789-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE COUPLES, FAMILY & INDIVIDUAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-789-9061",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielvys Fernandez Febles, RDH
• Robert John Ferraiuolo, LMHC
• Shane A Fisher, DDS
• Florida Institute for Recovery and Sex Therapy
• Florida Institute of Health LTD LLLP
• Fort Lauderdale Couples, Family and Individual Therapy, LLC
• Fort Lauderdale Medical Surgical Associates., Inc.
• James Foster, ARNP
• Bonnie J Fraley, LMHC
• Kathy Lucia Francis, M.S.W.

• Mental Health Counselor in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.