Organization Active NPI

Supportive Counseling

  • Community/Behavioral Health Agency
  • Avon Park, FL
National Provider Identifier
1639624588
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MT 2810 Issued in FL
Legal business name
SUPPORTIVE COUNSELING
Practice address
310 E Main St
Avon Park, FL 33825-3216
Phone
(321) 525-1556
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Dr. Nawal Sajih Aboulhosn, PHDNPI 1093737991
Title
Chief Executive Officer
Phone
(321) 525-1556

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MT 2810 FL Primary
Community/Behavioral Health Agency 251S00000X MH 7623 FL
Community/Behavioral Health Agency 251S00000X CAP 5229 FL

Addresses

Primary practice location

310 E Main St
Avon Park, FL 33825-3216

Mailing address

310 E Main St
Avon Park, FL 33825-3216
Phone (321) 525-1556

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1639624588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E MAIN ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253216",
            "telephone_number": "321-525-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E MAIN ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253216",
            "telephone_number": "321-525-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "ABOULHOSN",
        "authorized_official_first_name": "NAWAL",
        "authorized_official_middle_name": "SAJIH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "321-525-1556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MT 2810",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 7623",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "CAP 5229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.