Organization Active NPI

Epic Counseling Services LLC

  • Clinical Social Worker
  • Dunedin, FL
National Provider Identifier
1679926638
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11740 Issued in FL
Legal business name
EPIC COUNSELING SERVICES LLC
Practice address
1350 County Road 1 Unit 196
Dunedin, FL 34698-4601
Phone
(727) 278-3754
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Mrs. Tracy M Carter, LCSW
Title
Owner
Phone
(727) 278-3754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW11740 FL Primary

Addresses

Primary practice location

1350 County Road 1 Unit 196
Dunedin, FL 34698-4601

Mailing address

1350 County Road 1 Unit 196
Dunedin, FL 34698-4601
Phone (727) 278-3754

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1679926638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 COUNTY ROAD 1 UNIT 196",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984601",
            "telephone_number": "727-278-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 COUNTY ROAD 1 UNIT 196",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984601",
            "telephone_number": "727-278-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-278-3754",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.