Active NPI
Crossing the Bridge, Counseling Services, L.L.C.
- Mental Health Counselor
- Clermont, FL
National Provider Identifier
1548915226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CROSSING THE BRIDGE, COUNSELING SERVICES, L.L.C.
- Practice address
- 17301 Pagonia Rd Ste 220a
Clermont, FL 34711-5996 - Phone
- (407) 230-2357
- NPI assigned
- Feb 21, 2022
- Last updated
- Feb 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daisy Roman, ED.S., M.S., Q.S.
- Title
- Licensed Mental Health Counselor
- Phone
- (407) 230-2357
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
17301 Pagonia Rd Ste 220a
Clermont, FL 34711-5996
Mailing address
PO Box 120802
Clermont, FL 34712-0802
Phone (407) 230-2357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326375601 | Other | FL | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | crossingbridges.Theranest.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Clermont, FL
- NPI 1326375601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645401600000",
"number": "1548915226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120802",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347120802",
"telephone_number": "407-230-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17301 PAGONIA RD STE 220A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347115996",
"telephone_number": "407-230-2357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSING THE BRIDGE, COUNSELING SERVICES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "DAISY",
"authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "407-230-2357",
"authorized_official_credential": "ED.S., M.S., Q.S."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1326375601",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "crossingbridges.Theranest.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "17301 Pagonia Rd Ste 220A",
"city": "Clermont",
"state": "FL",
"country_code": "US",
"postal_code": "347115996",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.