The Onyx Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12607 Issued in FL

Legal business name

THE ONYX COUNSELING CENTER, LLC

Practice address

6361 Presidential CT Ste 101
Fort Myers, FL 33919

Phone

(845) 709-3255

NPI assigned

Jul 31, 2018

Last updated

Aug 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen Martens, LCSWNPI 1518384007

Title

Owner

Phone

(845) 709-3255

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Colleen Martens

  • Clinical Social Worker
  • Fort Myers, FL
  • NPI 1518384007
  NPD Authorized official
• Brianna Kelly Jaworski, LMHC

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1932687167
  NPD (past)
• Stephanie Kerns, MA

  • Social Worker
  • Fort Myers, FL
  • NPI 1407323850
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1629556840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 TILBOR CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168046",
            "telephone_number": "845-709-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 PRESIDENTIAL CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "845-709-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ONYX COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "MARTENS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-709-3255",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518384007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The School District of Lee County

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.