Corven Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 11571 Issued in FL

Legal business name

CORVEN COUNSELING SERVICES

Practice address

3201 Shamrock St S
Suite 103
Tallahassee, FL 32309-3321

Phone

(850) 509-5808

NPI assigned

Jan 9, 2013

Last updated

Jan 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry Corven Shell, LMHC,EDS,MS,NCCNPI 1912244120

Title

Owner

Phone

(850) 509-5808

Specialties & licenses 1

Addresses

Other names 1

• Kerry Corven Shell Other name

Locations

Practitioners 1

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.

• Kerry Corven Shell, LMHC,ED.S,M.S.,NCC

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1912244120
  Authorized official Same address or phone

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1851638951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S",
            "address_2": "SUITE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093321",
            "telephone_number": "850-509-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S",
            "address_2": "SUITE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093321",
            "telephone_number": "850-509-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVEN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "CORVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-509-5808",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC,EDS,MS,NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerry Corven Shell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Tallahassee, FL
• Providers in Tallahassee, 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 Jan 9, 2013; 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.