Active NPI
John Franklin West Jr., M.ED./ED.S.
- Marriage & Family Therapist
- Winter Park, FL
National Provider Identifier
1679761415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT1073
- Practice address
- 505 Park Ave N
Suite 212
Winter Park, FL 32789-3268 - Phone
- (407) 539-0047
- NPI assigned
- Oct 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMT1073 | FL | |
| Marriage & Family Therapist | 106H00000X | IMT1073 | FL | Primary |
Addresses
Primary practice location
505 Park Ave N
Suite 212
Winter Park, FL 32789-3268
Mailing address
458 N Sundance Dr
Lake Mary, FL 32746-3725
Phone (407) 580-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT1073 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1679761415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 N SUNDANCE DR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463725",
"telephone_number": "407-580-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARK AVE N",
"address_2": "SUITE 212",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893268",
"telephone_number": "407-539-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "JOHN",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.ED./ED.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "IMT1073",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT1073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.