Organization Active NPI

Mobile Counseling Services LLC

  • Mental Health Counselor
  • Daytona Beach, FL
National Provider Identifier
1821837394
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOBILE COUNSELING SERVICES LLC
Practice address
728 Fentress Blvd Unit E
Daytona Beach, FL 32114-1214
Phone
(321) 239-4124
Fax
(386) 204-7363
NPI assigned
May 23, 2024
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Caroline Marks, OWNERNPI 1417640616
Title
LCSW
Phone
(813) 335-8622

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

728 Fentress Blvd Unit E
Daytona Beach, FL 32114-1214

Mailing address

728 Fentress Blvd Unit E
Daytona Beach, FL 32114-1214
Phone (321) 239-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240819003140 FL Part B Supplier - Clinic/Group Practice 4486192648 Receives reassigned benefits from 3 practitioners
Practice locations: Daytona Beach, FL

National Provider Directory

National Provider Directory

Locations

728 Fentress Blvd
Unit E
Daytona Beach, FL 32114
Phone (321) 239-4124

103 N Orange St
Unit E
New Smyrna Beach, FL 32168
Phone (386) 222-1150

1982 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 320-3233

Practitioners & affiliated clinicians

Practitioners 3

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": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1821837394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 FENTRESS BLVD UNIT E",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141214",
            "telephone_number": "321-239-4124",
            "fax_number": "386-204-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 FENTRESS BLVD UNIT E",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141214",
            "telephone_number": "321-239-4124",
            "fax_number": "386-204-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "813-335-8622",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "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 Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.