Organization Active NPI

Kla Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Stuart, FL
National Provider Identifier
1962790121
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH 9214 Issued in FL
Legal business name
KLA COUNSELING SERVICES, INC.
Practice address
850 NW Federal Hwy
Suite 111
Stuart, FL 34994-1019
Phone
(772) 233-4282
Fax
(772) 248-1358
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Kellie Parris Agulia, MS, LMHC
Title
President
Phone
(772) 233-4282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH 9214 FL Primary

Addresses

Primary practice location

850 NW Federal Hwy
Suite 111
Stuart, FL 34994-1019

Mailing address

4653 SW Bermuda Way
Palm City, FL 34990-1220
Phone (772) 233-4282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1962790121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 SW BERMUDA WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901220",
            "telephone_number": "772-233-4282",
            "fax_number": "772-248-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY",
            "address_2": "SUITE 111",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "772-233-4282",
            "fax_number": "772-248-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLA COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "AGULIA",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "PARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-233-4282",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 9214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.