Organization Active NPI

Longboat Counseling Services LLC

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1881474559
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LONGBOAT COUNSELING SERVICES LLC
Practice address
390 Crown Oak Centre Dr
Longwood, FL 32750-6149
Phone
(407) 406-3335
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Romina Patricia Papadopulos, LMHC
Title
Owner/Counselor and Supervisor
Phone
(407) 406-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

390 Crown Oak Centre Dr
Longwood, FL 32750-6149

Mailing address

250 N Castleford CT
Longwood, FL 32779-4582
Phone (407) 406-3335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1881474559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N CASTLEFORD CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794582",
            "telephone_number": "407-406-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CROWN OAK CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506149",
            "telephone_number": "407-406-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGBOAT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "PAPADOPULOS",
        "authorized_official_first_name": "ROMINA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR AND SUPERVISOR",
        "authorized_official_telephone_number": "407-406-3335",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.