Organization Active NPI

Palm Avenue Counseling, PLLC

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1629525803
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12001 Issued in FL
Legal business name
PALM AVENUE COUNSELING, PLLC
Practice address
47 S Palm Ave
Suite 212
Sarasota, FL 34236-5699
Phone
(646) 338-5514
NPI assigned
Sep 6, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Mrs. April Kelsey Collins, LCSWNPI 1417586470
Title
Owner/Manager
Phone
(646) 338-5514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12001 FL Primary

Addresses

Primary practice location

47 S Palm Ave
Suite 212
Sarasota, FL 34236-5699

Mailing address

47 S Palm Ave
Suite 212
Sarasota, FL 34236-5699
Phone (646) 338-5514

National Provider Directory

National Provider Directory

Locations

47 S Palm Ave
Ste 212
Sarasota, FL 34236
Phone (646) 338-5514

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1629525803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 S PALM AVE",
            "address_2": "SUITE 212",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365699",
            "telephone_number": "646-338-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 S PALM AVE",
            "address_2": "SUITE 212",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365699",
            "telephone_number": "646-338-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM AVENUE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "646-338-5514",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.