Reclaiming Potential

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11796 Issued in FL

Legal business name

RECLAIMING POTENTIAL

Practice address

365 Aldershot CT
Kissimmee, FL 34758-4214

Phone

(407) 334-0646

Fax

(407) 350-3425

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Nedd, LMHC

Title

Owner

Phone

(407) 334-0646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1649717828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "address_2": "SUITE 306",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415703",
            "telephone_number": "407-334-0646",
            "fax_number": "407-350-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 ALDERSHOT CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584214",
            "telephone_number": "407-334-0646",
            "fax_number": "407-350-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIMING POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "NEDD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-334-0646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.