NPIMap

Organization Active NPI

Executive Counseling Solutions, LLC

  • Clinical Social Worker
  • Venice, FL
National Provider Identifier
1962859520
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12296 Issued in FL
Legal business name
EXECUTIVE COUNSELING SOLUTIONS, LLC
Practice address
1790 E Venice Ave
Suite 204
Venice, FL 34292-3191
Phone
(941) 484-0766
Fax
(941) 488-5554
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Ms. Rebecca Rand, LCSW
Title
Owner
Phone
(941) 224-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW12296 FL Primary

Addresses

Primary practice location

1790 E Venice Ave
Suite 204
Venice, FL 34292-3191

Mailing address

PO Box 495334
Port Charlotte, FL 33949-5334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1962859520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495334",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE",
            "address_2": "SUITE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-484-0766",
            "fax_number": "941-488-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE COUNSELING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-224-4044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.