Active NPI
Theracounsel,Inc.
- Clinical Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1730625005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THERACOUNSEL,INC.
- Practice address
- 4546 N Federal Hwy
Fort Lauderdale, FL 33308 - Phone
- (954) 564-9460
- NPI assigned
- Jan 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sherri Issa
- Title
- President
- Phone
- (954) 478-0770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4546 N Federal Hwy
Fort Lauderdale, FL 33308
Mailing address
2808 NE 22ND St
Fort Lauderdale, FL 33305-2804
Phone (954) 564-9460
National Provider Directory
National Provider Directory- Tax ID family
- Theracounsel Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Ft Lauderdale, FL
- NPI 1457460339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484092800000",
"number": "1730625005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 NE 22ND ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333052804",
"telephone_number": "954-564-9460",
"fax_number": "954-564-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4546 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-564-9460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERACOUNSEL,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A",
"authorized_official_last_name": "ISSA",
"authorized_official_first_name": "SHERRI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-478-0770",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.