Active NPI
Counseling and Behavioral Solutions, Inc.
- Mental Health Counselor
- Leesburg, FL
National Provider Identifier
1831485259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 6627
- Legal business name
- COUNSELING AND BEHAVIORAL SOLUTIONS, INC.
- Practice address
- 102 W. Dixie Ave
Leesburg, FL 34748 - Phone
- (352) 323-8872
- Fax
- (352) 801-7376
- NPI assigned
- Jun 23, 2011
- 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
- Mrs. Kirsten Skovmand-Wilson, LMHC
- Title
- Owner/Counselor
- Phone
- (352) 323-8872
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 6627 | FL | Primary |
| Behavior Analyst | 103K00000X | 1-01-0570 | FL |
Addresses
Primary practice location
102 W. Dixie Ave
Leesburg, FL 34748
Mailing address
P.O. Box 491459
Leesburg, FL 34749
Phone (352) 323-8872
National Provider Directory
National Provider DirectoryLocations
102 W Dixie Ave
Leesburg, FL 34748
Phone (352) 323-8872
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": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1831485259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 491459",
"city": "LEESBURG",
"state": "FL",
"postal_code": "34749",
"telephone_number": "352-323-8872",
"fax_number": "352-801-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W. DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "34748",
"telephone_number": "352-323-8872",
"fax_number": "352-801-7376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING AND BEHAVIORAL SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-23",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "SKOVMAND-WILSON",
"authorized_official_first_name": "KIRSTEN",
"authorized_official_title_or_position": "OWNER/COUNSELOR",
"authorized_official_telephone_number": "352-323-8872",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 6627",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-01-0570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.