Organization Active NPI

Kindred Open-Minded Individualized Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
National Provider Identifier
1831818582
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KINDRED OPEN-MINDED INDIVIDUALIZED COUNSELING SERVICES
Practice address
731 Kankakee LN
Orlando, FL 32807-4328
Phone
(239) 823-5745
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Amanda Thomas, LMHCNPI 1629576780
Title
Clinical Director
Phone
(239) 823-5745

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

731 Kankakee LN
Orlando, FL 32807-4328

Mailing address

731 Kankakee LN
Orlando, FL 32807-4328
Phone (239) 823-5745

Other names 1

  • KOI Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Koicounselingservices.com

National Provider Directory

National Provider Directory

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": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1831818582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 KANKAKEE LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328074328",
            "telephone_number": "239-823-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 KANKAKEE LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328074328",
            "telephone_number": "239-823-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED OPEN-MINDED INDIVIDUALIZED COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "239-823-5745",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Koicounselingservices.com",
            "affiliation": "N",
            "address_1": "731 Kankakee Ln",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328074328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KOI Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.