Origin Psychiatry & Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ORIGIN PSYCHIATRY & COUNSELING, LLC

Practice address

14520 Main St # 40
Alachua, FL 32615-8592

Phone

(813) 738-4024

Fax

(352) 329-4372

NPI assigned

Sep 20, 2024

Organization subpart

No

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

Authorized official

Name

Erin Delaney, DNP PMHNP-BCNPI 1588038392

Title

Owner, Psych NP

Phone

(813) 738-4024

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Delaney, DNP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alachua, FL
  • NPI 1588038392
  NPD Authorized official

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1891512000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TURKEY CRK",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326159313",
            "telephone_number": "813-738-4024",
            "fax_number": "352-329-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 MAIN ST # 40",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326158592",
            "telephone_number": "813-738-4024",
            "fax_number": "352-329-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN PSYCHIATRY & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER, PSYCH NP",
        "authorized_official_telephone_number": "813-738-4024",
        "authorized_official_credential": "DNP PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Alachua, FL
• Providers in Alachua, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.