Organization Active NPI

TD Educational Services Corp

  • Mental Health Counselor
  • Coconut Creek, FL
National Provider Identifier
1780404418
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TD EDUCATIONAL SERVICES CORP
Practice address
3701 Cocoplum Circle
Coconut Creek, FL 33063-5934
Phone
(954) 571-2230
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Dr. Latasha Shante' Kendrick, LMHCNPI 1295181873
Title
Ceo
Phone
(954) 574-2230

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3701 Cocoplum Circle
Coconut Creek, FL 33063-5934

Mailing address

3701 Cocoplum Circle
Coconut Creek, FL 33063-5934
Phone (954) 571-2230

Other practice location 1

8360 W Oakland Park Blvd
Sunrise, FL 33351-7332
Phone (954) 536-1456

National Provider Directory

National Provider Directory

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": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1780404418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 COCOPLUM CIRCLE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635934",
            "telephone_number": "954-571-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 COCOPLUM CIRCLE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635934",
            "telephone_number": "954-571-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8360 W Oakland Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517332",
            "country_code": "US",
            "telephone_number": "954-536-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TD EDUCATIONAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "SHANTE'",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-574-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.