Organization Active NPI

Counseling and Behavioral Solutions, Inc.

  • Mental Health Counselor
  • Leesburg, FL
National Provider Identifier
1831485259
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 6627 Issued in FL
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

Updated by the provider on Jul 2, 2019

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH 6627 FL Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.