NPIMap

Organization Active NPI

Adult Counseling & Psychotherapy of Lake County, LLC

  • Mental Health Counselor
  • Tavares, FL
National Provider Identifier
1932473451
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9157 Issued in FL
Legal business name
ADULT COUNSELING & PSYCHOTHERAPY OF LAKE COUNTY, LLC
Practice address
131 W Main St
Tavares, FL 32778-3809
Phone
(352) 742-5665
Fax
(352) 343-8801
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Steven C. Vangelder, DR.AD, LMHC, CAP
Title
Owner/President
Phone
(352) 742-5665

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH9157 FL
Mental Health Counselor 101YM0800X MH9157 FL Primary
Clinical Social Worker 1041C0700X SW10470 FL
Marriage & Family Therapist 106H00000X MH9157 FL
Marriage & Family Therapist 106H00000X SW10470 FL

Addresses

Primary practice location

131 W Main St
Tavares, FL 32778-3809

Mailing address

131 W Main St
Tavares, FL 32778-3809
Phone (352) 742-5665

National Provider Directory

National Provider Directory

Locations

131 W Main St
Tavares, FL 32778
Phone (352) 742-5665

Practitioners & affiliated clinicians

Practitioners 6

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": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1932473451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W MAIN ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783809",
            "telephone_number": "352-742-5665",
            "fax_number": "352-343-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W MAIN ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783809",
            "telephone_number": "352-742-5665",
            "fax_number": "352-343-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT COUNSELING & PSYCHOTHERAPY OF LAKE COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "VANGELDER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-742-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR.AD, LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH9157",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9157",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10470",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MH9157",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "SW10470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.