Active NPI
Center for Child Counseling
- Community/Behavioral Health Agency
- Lake Worth, FL
National Provider Identifier
1659808038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- IMH14691
- 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, 2017
- 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
- Rosa M Fernandez, M.S.
- Title
- Child and Family Therapist
- Phone
- (561) 779-7318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Miriam G Cedeno, RPT
- Adelita Luera Celia
- Centaurus Healthcare, Incorporated
- Center for Aging and Rehabilitation of Lake Worth Inc (Crossings Care Center)
- Center for Alcohol and Drug Studies, LLC. (Behavioral Health of the Palm Beaches)
- Center for Child Development
- Centrum Medical Holding of Lake Worth
- Centrum Medical Holdings LW
- Daniela De Jesus Cepero de Leon
- Malena Cepero
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.