Integrated Counseling & Mediation Services

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

INTEGRATED COUNSELING & MEDIATION SERVICES

Practice address

12360 66TH St Ste Y3
Largo, FL 33773-3434

Phone

(727) 558-1344

NPI assigned

May 13, 2015

Last updated

Jan 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mirta Martinez-Kekenak, LCSWNPI 1033373501

Title

Executive Director

Phone

(727) 558-1344

Specialties & licenses 1

Addresses

Locations

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.

• Mirta Martinez-Kekenak, LCSW

  • Clinical Social Worker
  • Largo, FL
  • NPI 1033373501
  NPD Authorized official

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1952789778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 66TH ST STE Y3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733434",
            "telephone_number": "727-558-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 66TH ST STE Y3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733434",
            "telephone_number": "727-558-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COUNSELING & MEDIATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-KEKENAK",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-558-1344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Largo, FL
• Providers in Largo, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.