Active NPI
Bay Centre, Inc.
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1891243440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH1271
- Legal business name
- BAY CENTRE, INC.
- Practice address
- 4590 Isabella Ingram Dr
Pensacola, FL 32504-5032 - Phone
- (850) 619-5631
- Fax
- (850) 308-7977
- NPI assigned
- Sep 13, 2016
- 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
- Wanda H Taylor, MCC
- Title
- Ceo
- Phone
- (850) 619-5631
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH1271 | FL | Primary |
| School Psychologist | 103TS0200X | SS185 | FL | |
| Massage Therapist | 225700000X | MA79472 | FL |
Addresses
Primary practice location
4590 Isabella Ingram Dr
Pensacola, FL 32504-5032
Mailing address
4590 Isabella Ingram Dr
Pensacola, FL 32504-5032
Phone (850) 619-5631
National Provider Directory
National Provider DirectoryLocations
4590 Isabella Ingram Dr
Pensacola, FL 32504
Phone (850) 619-5631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Pensacola, FL
- NPI 1912457482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473724800000",
"number": "1891243440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4590 ISABELLA INGRAM DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045032",
"telephone_number": "850-619-5631",
"fax_number": "850-308-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4590 ISABELLA INGRAM DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045032",
"telephone_number": "850-619-5631",
"fax_number": "850-308-7977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY CENTRE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-619-5631",
"authorized_official_credential": "MCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH1271",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS185",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA79472",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.