Active NPI
Children Advocacy Center
- Community/Behavioral Health Agency
- Fort Myers, FL
National Provider Identifier
1922433762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHILDREN ADVOCACY CENTER
- Practice address
- 3830 Evans Ave
Fort Myers, FL 33901-9305 - Phone
- (239) 939-2808
- NPI assigned
- Sep 12, 2013
- 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
- Val Gill, LMHC
- Title
- Director
- Phone
- (239) 939-2808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | FL | Primary |
Addresses
Primary practice location
3830 Evans Ave
Fort Myers, FL 33901-9305
Mailing address
3830 Evans Ave
Fort Myers, FL 33901-9305
Phone (239) 939-2808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070980800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Child Advocacy Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fort Myers, FL
- NPI 1730426719
-
- Mental Health Counselor
- Ft Myers, FL
- NPI 1154324762
-
- Community/Behavioral Health Agency
- Fort Myers, FL
- NPI 1386708204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378944000000",
"number": "1922433762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019305",
"telephone_number": "239-939-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019305",
"telephone_number": "239-939-2808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN ADVOCACY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "VAL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "239-939-2808",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070980800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Christian Camilo Chica Herrera, DMD
- Carlos Manuel Chica
- Wui Chien, MD
- Elizabeth A Chilcoat
- Child Advocacy Center
- Children'S Advocacy Center of Southwest Florida
- Children'S Advocacy Center of SW FL, Inc
- Children'S Advocacy Center of SWFL
- Children'S Autism Treatment Specialists, LLC.
- Children'S Gastroenterology of SW Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.