Aurora Counseling, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5952 Issued in FL

Legal business name

AURORA COUNSELING, INC

Practice address

1408 N Killian Dr
Ste 201
Lake Park, FL 33403-1962

Phone

(561) 881-7044

Fax

(561) 881-7044

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Susan P. Kimball, LCSW

Title

Owner

Phone

(561) 881-7044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992798128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N KILLIAN DR",
            "address_2": "STE 201",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031962",
            "telephone_number": "561-881-7044",
            "fax_number": "561-881-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N KILLIAN DR",
            "address_2": "STE 201",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031962",
            "telephone_number": "561-881-7044",
            "fax_number": "561-881-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-881-7044",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.