Northlake Center for Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4748 Issued in FL

Legal business name

NORTHLAKE CENTER FOR COUNSELING

Practice address

1851 West Indiantown Road
Suite 202
Jupiter, FL 33458

Phone

(561) 743-7958

Fax

(561) 743-7959

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Linda Susan Davis, LICENSE MENTAL HEALT

Title

President

Phone

(561) 743-7958

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1881130094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 WEST INDIANTOWN ROAD",
            "address_2": "#202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-743-7959",
            "fax_number": "561-743-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 WEST INDIANTOWN ROAD",
            "address_2": "SUITE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-743-7958",
            "fax_number": "561-743-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE CENTER FOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-743-7958",
        "authorized_official_credential": "LICENSE MENTAL HEALT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Norris, ARNP
• Ryan Wayne Norris, FNP-C
• Scott D Norris, D.O.
• North County Center for Digestive Health, Inc.
• Northern Palm Beach Pulmonary and Critical Care, PA
• Northland Hearing Centers Inc (Audiology and Speech Pathology)
• Northwest Center for Infertility and Reproductive Endocrinology (IVF Florida Reproductive Associates)
• Not Just Therapy, LLC (Not Just Therapy)
• Nova -PB LLC
• Elio Raul Novoa, MD

• Mental Health Counselor in Jupiter, FL
• Providers in Jupiter, 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 11, 2017; 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.