Brainclick Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9545 Issued in FL

Legal business name

BRAINCLICK COUNSELING

Doing business as

BrainClick Online Counseling

Practice address

135 Largs CT
#308
Dunedin, FL 34698-8386

Phone

(863) 214-2046

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Edward Van Kleeck, M.A.

Title

Owner / Administrator

Phone

(863) 214-2046

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BrainClick Online Counseling Doing business as

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1801345335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LARGS CT",
            "address_2": "#308",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988386",
            "telephone_number": "863-214-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LARGS CT",
            "address_2": "#308",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988386",
            "telephone_number": "863-214-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCLICK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "VAN KLEECK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "863-214-2046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093990016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrainClick Online Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann A Bost, DC
• Theresa McCay Boutross, LCSW, CADC
• Joanna Boutzoukas
• Harris Boyiadzis, MD
• Percy Renato Bracamonte, M.D.
• Brainhealth LLC
• Brea Dunedin LLC
• James Breen, PA-C
• Parilee Brenchley, R.PH.
• Logan Brennan, DC, ATC

• Mental Health Counselor in Dunedin, FL
• Providers in Dunedin, 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 Sep 26, 2016; 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.