Organization Active NPI

Counseling and Behavioral Services, Inc

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1891865762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7162 Issued in FL
Legal business name
COUNSELING AND BEHAVIORAL SERVICES, INC
Practice address
619 N Cove Blvd Ste a
Panama City, FL 32401-3642
Phone
(850) 596-1208
Fax
(850) 769-2366
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Jeffery Duggar, LMHC
Title
Counslor Owner
Phone
(850) 596-1208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH7162 FL Primary

Addresses

Primary practice location

619 N Cove Blvd Ste a
Panama City, FL 32401-3642

Mailing address

619 Cove Blvd Suite a
Panama City, FL 32401
Phone (850) 596-1208

Other identifiers 1

IdentifierTypeStateIssuer
Z012UOtherFLBCBS OF FL

National Provider Directory

National Provider Directory

Practitioners & 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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891865762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 COVE BLVD SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32401",
            "telephone_number": "850-596-1208",
            "fax_number": "850-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N COVE BLVD STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013642",
            "telephone_number": "850-596-1208",
            "fax_number": "850-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUGGAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "COUNSLOR OWNER",
        "authorized_official_telephone_number": "850-596-1208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Z012U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.