Organization Active NPI

CC Counseling, LLC

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1740645050
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
SW11465 Issued in FL
Legal business name
CC COUNSELING, LLC
Practice address
1931 NW 150TH Ave
129
Pembroke Pines, FL 33028-2877
Phone
(786) 371-5128
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Carol Chehade, LCSW
Title
President
Phone
(786) 371-5128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X SW11465 FL Primary

Addresses

Primary practice location

1931 NW 150TH Ave
129
Pembroke Pines, FL 33028-2877

Mailing address

1931 NW 150TH Ave
129
Pembroke Pines, FL 33028-2877
Phone (786) 371-5128

Other identifiers 1

IdentifierTypeStateIssuer
1194954321OtherFL1194954321

National Provider Directory

National Provider Directory

Locations

1931 NW 150th Ave
Ste 129
Pembroke Pines, FL 33028
Phone (786) 371-5128

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": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1740645050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE",
            "address_2": "129",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282877",
            "telephone_number": "786-371-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE",
            "address_2": "129",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282877",
            "telephone_number": "786-371-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "CHEHADE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-371-5128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "SW11465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1194954321",
            "identifier": "1194954321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.