Organization Active NPI

Genuine Caregiver Support

  • Mental Health Counselor
  • North Lauderdale, FL
National Provider Identifier
1568849354
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13177 Issued in FL
Legal business name
GENUINE CAREGIVER SUPPORT
Practice address
6587 Blvd of Champions
North Lauderdale, FL 33068-3811
Phone
(954) 802-8185
NPI assigned
Apr 30, 2015
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
Prof. Candace Drummond, LMHCNPI 1013361856
Title
Ceo
Phone
(954) 802-8185

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MH13177 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH13177 FL Primary
Community/Behavioral Health Agency 251S00000X MH13177 FL

Addresses

Primary practice location

6587 Blvd of Champions
North Lauderdale, FL 33068-3811

Mailing address

6587 Blvd of Champions
North Lauderdale, FL 33068-3811
Phone (954) 802-8185

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1568849354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6587 BLVD OF CHAMPIONS",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683811",
            "telephone_number": "954-802-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6587 BLVD OF CHAMPIONS",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683811",
            "telephone_number": "954-802-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE CAREGIVER SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-802-8185",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH13177",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13177",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH13177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, 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.