Organization Active NPI

Casa Feliz Counseling LLC

  • Mental Health Counselor
  • Orange City, FL
National Provider Identifier
1912439274
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9913 Issued in FL
Legal business name
CASA FELIZ COUNSELING LLC
Practice address
2425 S Volusia Ave Ste B4
Orange City, FL 32763-7625
Phone
(321) 578-7488
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Graciela Pulliam, LMHCNPI 1578704078
Title
Ceo/Owner
Phone
(321) 578-7488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH9913 FL Primary

Addresses

Primary practice location

2425 S Volusia Ave Ste B4
Orange City, FL 32763-7625

Mailing address

2425 S Volusia Ave Ste B4
Orange City, FL 32763-7625
Phone (321) 578-7488

Other identifiers 1

IdentifierTypeStateIssuer
014378900MedicaidFL

National Provider Directory

National Provider Directory

Locations

118 N Woodland Blvd
Ste 1
Deland, FL 32720

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": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1912439274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S VOLUSIA AVE STE B4",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637625",
            "telephone_number": "321-578-7488",
            "fax_number": "877-540-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S VOLUSIA AVE STE B4",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637625",
            "telephone_number": "321-578-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA FELIZ COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "321-578-7488",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014378900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.