NPIMap

Organization Active NPI

Edify Counseling Group LLC

Doing business as Edify Creative Counseling Group

  • Professional Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1922507730
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17769 Issued in FL
Legal business name
EDIFY COUNSELING GROUP LLC
Doing business as
Edify Creative Counseling Group
Practice address
1451 W Cypress Creek Rd
Fort Lauderdale, FL 33309-1961
Phone
(888) 773-3439
NPI assigned
Feb 7, 2018
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Dr. Jason-Anthony Kirkham Prendergast, PHD, MBA, BS.NPI 1699278523
Title
President & Ceo
Phone
(888) 773-3439

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X 17769 FL Primary

Addresses

Primary practice location

1451 W Cypress Creek Rd
Fort Lauderdale, FL 33309-1961

Mailing address

1451 W Cypress Creek Rd Ste 300
Fort Lauderdale, FL 33309-1953
Phone (888) 773-3439

Other names 1

  • Edify Creative Counseling Group Doing business as

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1922507730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091953",
            "telephone_number": "888-773-3439",
            "fax_number": "888-773-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091961",
            "telephone_number": "888-773-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIFY COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "JASON-ANTHONY",
        "authorized_official_middle_name": "KIRKHAM",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "888-773-3439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MBA, BS."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "17769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edify Creative Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.