Organization Active NPI

Center for Child Counseling

  • Community/Behavioral Health Agency
  • Lake Worth, FL
National Provider Identifier
1659808038
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMH14691 Issued in FL
Legal business name
CENTER FOR CHILD COUNSELING
Practice address
2234 Lake Worth Rd
Apt. 103
Lake Worth, FL 33461-3256
Phone
(561) 779-7318
NPI assigned
May 17, 2017
Last updated
May 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Rosa M Fernandez, M.S.
Title
Child and Family Therapist
Phone
(561) 779-7318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMH14691 FL Primary

Addresses

Primary practice location

2234 Lake Worth Rd
Apt. 103
Lake Worth, FL 33461-3256

Mailing address

2234 Lake Worth Rd
Apt. 103
Lake Worth, FL 33461
Phone (561) 779-7318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1659808038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 LAKE WORTH RD",
            "address_2": "APT. 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-779-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 LAKE WORTH RD",
            "address_2": "APT. 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613256",
            "telephone_number": "561-779-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHILD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "561-779-7318",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH14691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.