Organization Active NPI

Kindred Counseling Services, LLC

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1801036397
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8982 Issued in FL
Legal business name
KINDRED COUNSELING SERVICES, LLC
Practice address
3525 W Lake Mary Blvd
Suite 307
Lake Mary, FL 32746-3473
Phone
(407) 322-8018
Fax
(407) 322-8575
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Mrs. Nadia Humphreys, LMHCNPI 1831389410
Title
Owner
Phone
(407) 322-8018

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH8982 FL Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW9137 FL

Addresses

Primary practice location

3525 W Lake Mary Blvd
Suite 307
Lake Mary, FL 32746-3473

Mailing address

3525 W Lake Mary Blvd
Suite 307
Lake Mary, FL 32746-3473
Phone (407) 322-8018

National Provider Directory

National Provider Directory

Locations

3525 W Lake Mary Blvd
Ste 307
Lake Mary, FL 32746
Phone (407) 322-8018

Practitioners & affiliated clinicians

Practitioners 2

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": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1801036397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W LAKE MARY BLVD",
            "address_2": "SUITE 307",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463473",
            "telephone_number": "407-322-8018",
            "fax_number": "407-322-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W LAKE MARY BLVD",
            "address_2": "SUITE 307",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463473",
            "telephone_number": "407-322-8018",
            "fax_number": "407-322-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-322-8018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8982",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.