McMaken Counseling and Support Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MCMAKEN COUNSELING AND SUPPORT SERVICES

Practice address

415 N Richard Jackson Blvd Ste 206B
Panama City Beach, FL 32407-3694

Phone

(303) 618-5614

Fax

(850) 248-2469

NPI assigned

May 28, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sandi Gay

Title

Billing Manager

Phone

(850) 248-2468

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke McMaken, LMHC

  • Mental Health Counselor
  • Panama City Beach, FL
  • NPI 1508223553
  Medicare reassignment NPD

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1689298341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD STE 206B",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073694",
            "telephone_number": "303-618-5614",
            "fax_number": "850-248-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD STE 206B",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073694",
            "telephone_number": "303-618-5614",
            "fax_number": "850-248-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAKEN COUNSELING AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "850-248-2468",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025008100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda McDonough
• Delia Maria McGlocklin, LCSW, LCAC, CAADC
• William McKenzie III
• Tyler Douglas McLelland
• Tremone R McLeod, NP
• Brooke McMaken, LMHC
• Kemar Doran McMorris
• William Turner McMurphy, APRN
• Eleatha Meadows, PHARMD
• Brandon Meckelberg, DDS

• Mental Health Counselor in Panama City Beach, FL
• Providers in Panama City Beach, 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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.