NPIMap

Organization Active NPI

Embridge Counseling Services

  • Community/Behavioral Health Agency
  • Daytona Beach, FL
National Provider Identifier
1750771622
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2442 Issued in FL
Legal business name
EMBRIDGE COUNSELING SERVICES
Practice address
140 S Beach St Ste 310
Daytona Beach, FL 32114-4409
Phone
(386) 747-6541
Fax
(866) 401-6150
NPI assigned
Jan 30, 2015
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Dr. Emeka Obi Anyiam, LMFTNPI 1598059537
Title
Ceo
Phone
(386) 747-6541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2442 FL Primary

Addresses

Primary practice location

140 S Beach St Ste 310
Daytona Beach, FL 32114-4409

Mailing address

508 Coral Trace Blvd
Edgewater, FL 32132-6926
Phone (386) 747-6541

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1750771622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CORAL TRACE BLVD",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321326926",
            "telephone_number": "386-747-6541",
            "fax_number": "866-401-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S BEACH ST STE 310",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144409",
            "telephone_number": "386-747-6541",
            "fax_number": "866-401-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRIDGE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "ANYIAM",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_middle_name": "OBI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-747-6541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "2442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

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