Organization Active NPI

Fellowship Counseling, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1619399656
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH7764 Issued in FL
Legal business name
FELLOWSHIP COUNSELING, LLC
Practice address
120 S Bumby Ave
Suite a
Orlando, FL 32803-7412
Phone
(407) 509-3616
Fax
(407) 282-0054
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Mr. Don F Hayward Jr., LMHC
Title
Manager
Phone
(407) 509-3616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH7764 FL Primary

Addresses

Primary practice location

120 S Bumby Ave
Suite a
Orlando, FL 32803-7412

Mailing address

120 S Bumby Ave
Suite a
Orlando, FL 32803-7412
Phone (407) 509-3616

National Provider Directory

National Provider Directory

Locations

120 S Bumby Ave
Unit A
Orlando, FL 32803
Phone (321) 236-0282

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1619399656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S BUMBY AVE",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037412",
            "telephone_number": "407-509-3616",
            "fax_number": "407-282-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S BUMBY AVE",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037412",
            "telephone_number": "407-509-3616",
            "fax_number": "407-282-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-509-3616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.