Organization Active NPI

Logos Counseling Center

  • Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1952688038
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
BTR-04876 Issued in FL
Legal business name
LOGOS COUNSELING CENTER
Practice address
1975 S John Young Pkwy
Suite 101 a
Kissimmee, FL 34741-0603
Phone
(407) 715-6062
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Dr. Bienvenido John Valentin Jr., PSYD - PH.D
Title
President
Phone
(407) 715-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X BTR-04876 FL Primary

Addresses

Primary practice location

1975 S John Young Pkwy
Suite 101 a
Kissimmee, FL 34741-0603

Mailing address

1975 S John Young Pkwy
Suite 101 a
Kissimmee, FL 34741-0603
Phone (407) 715-6062

National Provider Directory

National Provider Directory

Locations

1975 S John Young Pkwy
Ste 101
Kissimmee, FL 34741
Phone (407) 715-6062

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1952688038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 S JOHN YOUNG PKWY",
            "address_2": "SUITE 101 A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410603",
            "telephone_number": "407-715-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 S JOHN YOUNG PKWY",
            "address_2": "SUITE 101 A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410603",
            "telephone_number": "407-715-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "BIENVENIDO",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-715-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSYD  - PH.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "BTR-04876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.