NPIMap

Organization Active NPI

Kids Connection of Ft Lauderdale

  • Case Management Agency
  • Ft Lauderdale, FL
National Provider Identifier
1588027262
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MH 13853 Issued in FL
Legal business name
KIDS CONNECTION OF FT LAUDERDALE
Practice address
1711 NE 3Rd CT
Ft Lauderdale, FL 33301-3811
Phone
(775) 240-4124
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Ms. Stephanie Kane, LMHC, LMFT
Title
Owner/Ceo
Phone
(775) 240-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MH 13853 FL Primary

Addresses

Primary practice location

1711 NE 3Rd CT
Ft Lauderdale, FL 33301-3811

Mailing address

1711 NE 3Rd CT
Ft Lauderdale, FL 33301-3811
Phone (775) 240-4124

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1588027262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 NE 3RD CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013811",
            "telephone_number": "775-240-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 NE 3RD CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013811",
            "telephone_number": "775-240-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CONNECTION OF FT LAUDERDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "775-240-4124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, LMFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "MH 13853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.