Active NPI
Adult & Child Mental Health Care, LLC
- Community/Behavioral Health Agency
- Pace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ADULT & CHILD MENTAL HEALTH CARE, LLC
- Practice address
- 4622 Summerdale Blvd.
Pace, FL 32571 - Phone
- (850) 466-3200
- Fax
- (850) 466-3203
- NPI assigned
- Feb 13, 2024
- Last updated
- Jul 3, 2024
- Organization subpart
- Yes
- Parent organization
- ADULT & CHILD MENTAL HEALTH CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Adams, LCSW
- Title
- Owner/Director
- Phone
- (850) 466-3200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4622 Summerdale Blvd.
Pace, FL 32571
Mailing address
4622 Summerdale Blvd.
Pace, FL 32571
Phone (850) 466-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008355300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Adult Child Mental Healthc
- Part of
- Adult Child Mental Healthc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Pensacola, FL
- NPI 1871898106
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Pensacola, FL
- NPI 1871898106
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.
-
- Mental Health Counselor
- Milton, FL
- NPI 1184861809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1629832282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 SUMMERDALE BLVD.",
"city": "PACE",
"state": "FL",
"postal_code": "32571",
"telephone_number": "850-466-3200",
"fax_number": "850-466-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4622 SUMMERDALE BLVD.",
"city": "PACE",
"state": "FL",
"postal_code": "32571",
"telephone_number": "850-466-3200",
"fax_number": "850-466-3203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT & CHILD MENTAL HEALTH CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADULT & CHILD MENTAL HEALTH CARE, LLC",
"enumeration_date": "2024-02-13",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "850-466-3200",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008355300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
- Accent USA
- Accumed Health Services, LP (Amedisys Home Health)
- Adam Gist PT, LLC
- Adc Ventures PLLC (Advanced Dental Concepts)
- Advantage Dental Oral Health Center of Florida PA
- Afc Florida, LLC (American Family Care)
- Affordable Medical Clinic Inc
- Dennis Arcangel Aglipay, APRN, FNP-BC
- Faris Al Nahhas, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.