Active NPI
Tallahassee Counseling & Consulting
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1851993596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TALLAHASSEE COUNSELING & CONSULTING
- Practice address
- 2354 Christopher PL
Tallahassee, FL 32308-4109 - Phone
- (850) 510-8778
- Fax
- (850) 668-8047
- NPI assigned
- Nov 9, 2020
- 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
- Austyn Van Der Linden, LCSW
- Title
- Owner
- Phone
- (850) 510-8778
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2354 Christopher PL
Tallahassee, FL 32308-4109
Mailing address
2354 Christopher PL
Tallahassee, FL 32308-4109
Phone (850) 510-8778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240306002199 | FL | Part B Supplier - Clinic/Group Practice | 3072959634 |
Receives reassigned benefits from 1 practitioner Practice locations: Tallahassee, FL |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1851993596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 CHRISTOPHER PL",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084109",
"telephone_number": "850-510-8778",
"fax_number": "850-668-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2354 CHRISTOPHER PL",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084109",
"telephone_number": "850-510-8778",
"fax_number": "850-668-8047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALLAHASSEE COUNSELING & CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-09",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "VAN DER LINDEN",
"authorized_official_first_name": "AUSTYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-510-8778",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
- Tallahassee Cancer Institute PL
- Tallahassee Cancer Institute, PL
- Tallahassee Cardiology Associates, P.a.
- Tallahassee Chinese Medicine LLC
- Tallahassee Chiropractic Sports Medicine and Rehab Center
- Tallahassee Covid Testing, LLC
- Tallahassee Dental Associates, PLLC
- Tallahassee Developmental Center
- Tallahassee Diag Imaging Ctr LTD
- Tallahassee Diag Imaging Ctr LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.