Advance Bariatric Counseling
Organization Active NPI Clinical Social Worker · Debary, FL
NPI 1710539192 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1710539192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ADVANCE BARIATRIC COUNSELING
- Practice address
- 239 Florida Willow Ave
Debary, FL 32713-4865 - Phone
- (407) 564-3459
- Fax
- (321) 296-6847
- NPI assigned
- Jul 15, 2019
- Organization subpart
- No
Authorized official
- Name
- Ashlyn Douglass-Barnes, LCSW
- Title
- LCSW/Owner
- Phone
- (407) 564-3459
Practitioners 6
-
Tania Gorham, MS, LMFT, QS
-
Jessica R Mauger, LCSW
-
Brian Smerdon, MS LMHC
-
Iliana Bianca Torres, MS, RMHCI #10738
-
Preston Patterson, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190822000117 | FL | Part B Supplier - Clinic/Group Practice | 9739417254 |
Receives reassigned benefits from 5 practitioners Practice locations: Winter Park, FL |
National Provider Directory
Locations
1950 Lee Rd
Ste 110
Winter Park, FL 32789
Phone (407) 561-3459
Interoperability endpoints
- ashlyn@advancebariatriccounseling.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
239 Florida Willow Ave
Debary, FL 32713-4865
Mailing address
239 Florida Willow Ave
Debary, FL 32713-4865
Phone (850) 545-0648
Other practice location 1
531 Versailles Dr Ste 100
Maitland, FL 32751-4591
Phone (407) 564-3459
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019204300 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ashlyn@AdvanceBariatricCounseling.com | Direct |
Other providers in Debary, FL
- 28 Trans, LLC
- Accurate Healthcare Debary Inc.
- Acupuncture and Healing Arts
- Advanced Family Care Inc
- Advanced Scripts LLC
- Advantacare Multi-Specialty Group, LLC
- Advantacare of Florida LLC
- Vinita Agaberg
All providers in Debary, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.