Counseling & Consultation, Corp.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0764AD394901 Issued in FL

Legal business name

COUNSELING & CONSULTATION, CORP.

Practice address

3959 S. Nova Rd.
Suite 14
Port Orange, FL 32127

Phone

(386) 290-2085

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Robert Dooley, M.A., CAP, CMHP

Title

Ceo

Phone

(386) 290-2085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1699105288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 S. NOVA RD.",
            "address_2": "SUITE 14",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-290-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S. NOVA RD.",
            "address_2": "SUITE 14",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-290-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & CONSULTATION, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-290-2085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CAP, CMHP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "0764AD394901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Correa
• James W Corwin, PT
• Sara Rebecca Corwin, FNP-C
• Caitlin Costello
• Joseph Couche
• Counseling Associates of Port Orange, Inc.
• Country Manor Assisted Living & Retirement Home, LLC
• Sharyn Coville
• Rebecca Cowden
• Caitlyn Coyne, BCABA

• Early Intervention Provider Agency in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.