Active NPI
Circle of Friends
- Community/Behavioral Health Agency
- Deland, FL
National Provider Identifier
1649603259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CIRCLE OF FRIENDS
- Practice address
- 525 Black Ironwood Dr
Deland, FL 32724-8106 - Phone
- (386) 717-0982
- NPI assigned
- Aug 19, 2013
- Last updated
- Aug 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Anderson Rogers
- Title
- Mental Health Therapist
- Phone
- (386) 717-0982
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
525 Black Ironwood Dr
Deland, FL 32724-8106
Mailing address
525 Black Ironwood Dr
Deland, FL 32724-8106
Phone (386) 717-0982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467691873 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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
- New Smyrna Beach, FL
- NPI 1154863439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376870400000",
"number": "1649603259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BLACK IRONWOOD DR",
"city": "DELAND",
"state": "FL",
"postal_code": "327248106",
"telephone_number": "386-717-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BLACK IRONWOOD DR",
"city": "DELAND",
"state": "FL",
"postal_code": "327248106",
"telephone_number": "386-717-0982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE OF FRIENDS",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ANDERSON",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "386-717-0982",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467691873",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.