NPIMap

Organization Active NPI

American Healthcare Community Behavioral Services LLC

  • Mental Health Counselor
  • St. Cloud, FL
National Provider Identifier
1710332671
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MT2452 Issued in FL
Legal business name
AMERICAN HEALTHCARE COMMUNITY BEHAVIORAL SERVICES LLC
Doing business as
American Healthcare
Practice address
1203 Florida Ave.
St. Cloud, FL 34769
Phone
(407) 593-1062
Fax
(407) 277-7622
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Mr. Dale A. Ziglear, MT
Title
Owner/Ceo
Phone
(321) 228-4134

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MT2452 FL Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X CCMS100378-AC FL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1203 Florida Ave.
St. Cloud, FL 34769

Mailing address

1203 Florida Ave.
St. Cloud, FL 34769
Phone (407) 593-1062

Other identifiers 1

IdentifierTypeStateIssuer
015614700MedicaidFL

Other names 1

  • American Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1710332671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLORIDA AVE.",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-593-1062",
            "fax_number": "407-277-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 FLORIDA AVE.",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-593-1062",
            "fax_number": "407-277-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTHCARE COMMUNITY BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "ZIGLEAR",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "321-228-4134",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT2452",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "CCMS100378-AC",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015614700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.