Active NPI
Spectrum Counseling Services, LLC
- Mental Health Counselor
- Bonifay, FL
National Provider Identifier
1780935148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10080
- Legal business name
- SPECTRUM COUNSELING SERVICES, LLC
- Practice address
- 103 E Montana Ave
Bonifay, FL 32425-1706 - Phone
- (850) 547-1230
- Fax
- (850) 546-1230
- NPI assigned
- Sep 26, 2012
- 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
- Gina Christine Martinelli, MS, LMHC, NCC
- Title
- Ceo, LMHC
- Phone
- (850) 726-0937
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10080 | FL | Primary |
Addresses
Primary practice location
103 E Montana Ave
Bonifay, FL 32425-1706
Mailing address
PO Box 748
Bonifay, FL 32425-0748
National Provider Directory
National Provider DirectoryLocations
103 E Montana Ave
Bonifay, FL 32425
Phone (850) 547-1230
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": "1348617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348617600000",
"number": "1780935148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324250748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E MONTANA AVE",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324251706",
"telephone_number": "850-547-1230",
"fax_number": "850-546-1230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A",
"authorized_official_last_name": "MARTINELLI",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "CEO, LMHC",
"authorized_official_telephone_number": "850-726-0937",
"authorized_official_credential": "MS, LMHC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonifay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.