Carrollwood Village Counseling Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 1076 Issued in FL

Legal business name

CARROLLWOOD VILLAGE COUNSELING ASSOCIATES

Practice address

14502 N Dale Mabry Hwy
Suite 326
Tampa, FL 33618-2075

Phone

(813) 964-9400

Fax

(813) 964-9405

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Karen Gangel, LMHC

Title

Director

Phone

(813) 964-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1750522215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY",
            "address_2": "SUITE 326",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-964-9400",
            "fax_number": "813-964-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY",
            "address_2": "SUITE 326",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-964-9400",
            "fax_number": "813-964-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLWOOD VILLAGE COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "GANGEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-964-9400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrollwood Medical Group, LLC.
• Carrollwood Operations, LLC
• Carrollwood Rehabilitation Center LLC
• Carrollwood Speech and Swallowing Therapy, PLLC
• Carrollwood Surgical Associates
• Carrollwood Vision Corporation
• Catherine E Carruthers, M.D.
• Kadir Justin Carruthers, M.D.
• Alexandra Stewart Carson, RMHC
• Alyssa Noelle Carson, PHARMD

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.