NPIMap

Organization Active NPI

Advanced Counseling Services, Professional Association

  • Community/Behavioral Health Agency
  • Brooksville, FL
National Provider Identifier
1578866562
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW9047 Issued in FL
Legal business name
ADVANCED COUNSELING SERVICES, PROFESSIONAL ASSOCIATION
Practice address
1188 S Broad St
Ste. 400
Brooksville, FL 34601-3110
Phone
(352) 364-0067
Fax
(352) 364-0116
NPI assigned
Dec 13, 2010
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Sophia Greiner, LCSW
Title
President/Director
Phone
(352) 364-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW9047 FL Primary

Addresses

Primary practice location

1188 S Broad St
Ste. 400
Brooksville, FL 34601-3110

Mailing address

1188 S Broad St
Ste. 400
Brooksville, FL 34601-3110
Phone (352) 364-0067

Other identifiers 1

IdentifierTypeStateIssuer
Z02HKOtherFLBLUE CROSS / BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1188 S Broad St
Ste 400
Brooksville, FL 34601
Phone (352) 364-0067

Practitioners & affiliated clinicians

Practitioners 4

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1578866562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 S BROAD ST",
            "address_2": "STE. 400",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013110",
            "telephone_number": "352-364-0067",
            "fax_number": "352-364-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 S BROAD ST",
            "address_2": "STE. 400",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013110",
            "telephone_number": "352-364-0067",
            "fax_number": "352-364-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COUNSELING SERVICES, PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "GREINER",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "352-364-0067",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW9047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "Z02HK",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.