SAMARITAN COUNSELING CENTER (NPI# 1356877047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356877047 |
| Entity Type | Organization |
| Organization Name | SAMARITAN COUNSELING CENTER |
| Practice Address |
101 Se 3rd Avenue Fort Lauderdale FL 33301 |
| Mailing Address |
6760 N Pine Island Rd Tamarac FL 33321-3715 |
| Practice Telephone | 5614018527 |
| Mailing Telephone | 5614018527 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MR. MALLICA DAVID REYNOLDS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5614018527 |
| Authorized Official Credential | MS. LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MT3178 | FL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205077427 | Samaritan Counseling Center | Clinic/Center | 5900 Monona Dr., Suite 100, Water Tower Place, Monona, WI 53716-3556 | 2009-03-18 |
| 1417962234 | Samaritan Counseling Center | Voluntary or Charitable | 2696 South Colorado Blvd., Suite 380, Denver, CO 80222 | 2006-07-30 |
| 1043274608 | Samaritan Counseling Center | Counselor | 1803 Oregon Pike, Lancaster, PA 17601-6401 | 2006-04-12 |
| 1487617973 | Samaritan Counseling Center | Counselor | 22 E Chestnut Hill Ave, Philadelphia, PA 19118-2715 | 2006-04-07 |
| 1487062121 | Samaritan Counseling Center | Community/Behavioral Health | 29887 W 11 Mile Rd, Farmington Hills, MI 48336-1309 | 2014-07-25 |
| 1699088054 | Samaritan Counseling Center | Social Worker | 8955 Columbia Ave, Munster, IN 46321-2903 | 2010-07-14 |
| 1487818829 | Samaritan Counseling Center | Community/Behavioral Health | 3504 Industrial Ave, 2nd Floor, Fairbanks, AK 99701-7376 | 2008-07-15 |
| 1366572968 | Samaritan Counseling Center | Community/Behavioral Health | 1126 W Foothill Blvd, Suite 110, Upland, CA 91786-3768 | 2007-03-06 |
| 1679613129 | Samaritan Counseling Center | Counselor | 3747 Doctors Dr, Port Arthur, TX 77642-5555 | 2007-02-07 |
| 1184780900 | Samaritan Counseling Center | Counselor | 1525 Stephens Ave, Shreveport, LA 71101-4705 | 2006-12-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN COUNSELING CENTER | 1803 Oregon Pike, Lancaster, PA 17601-6401 |
| System for Award Management (SAM) Entities | SAMARITAN COUNSELING CENTER HAWAII | 1020 S Beretania St, Honolulu, HI 96814-1428 |
| System for Award Management (SAM) Entities | SAMARITAN COUNSELING CENTER OF SOUTHEAST TEXAS | 7980 Anchor Dr Ste 500, Port Arthur, TX 77642-8285 |
| New York State Corporations | SAMARITAN COUNSELING CENTER OF THE SOUTHERN TIER, INC. | 3001 East Main Street, Endwell, Ny 13760 |
| Street Address |
101 SE 3RD AVENUE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| 1699114199 | Rafis A Nin | Social Worker | 401ne 4th Street, Fort Lauderdale, FL 33301 | 2013-06-18 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487059713 | Broward House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1726 Se 3rd Ave, Fort Lauderdale, FL 33316-2514 | 2014-10-29 |
| 1952659070 | Sort After Foundations, Inc | Community Based Residential Treatment Facility, Mental Illness | 1621 N Dixie Hwy, Fort Lauderdale, FL 33305-3138 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688852 | Tropical Gardens LLC | Community Based Residential Treatment Facility, Mental Illness | 150 Ne 212th St, Miami Gardens, FL 33179-1017 | 2020-01-24 |
| 1417505850 | Herve Franck | Community Based Residential Treatment Facility, Mental Illness | 13901 Folkestone Cir, Wellington, FL 33414-7825 | 2019-08-28 |
| 1568014868 | Hestia House of Florida, Inc. | Community Based Residential Treatment Facility, Mental Illness | 816 N Grandview Ave # 2, Daytona Beach, FL 32118-3721 | 2019-07-16 |
| 1336628155 | Lavoryia Timmons | Community Based Residential Treatment Facility, Mental Illness | 24940 Hyde Park Blvd, Land O Lakes, FL 34639-6306 | 2018-08-13 |
| 1003324534 | Donyell Jones | Community Based Residential Treatment Facility, Mental Illness | 6239 Edgewater Dr Ste V2, Orlando, FL 32810-4764 | 2018-01-18 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1316477029 | Cerrato Associates Incorporation | Community Based Residential Treatment Facility, Mental Illness | 755 Shady Oaks Dr Apt 310, Palm Coast, FL 32164-2578 | 2017-06-14 |
| 1780119917 | Open Arm Housing and Care | Community Based Residential Treatment Facility, Mental Illness | 4031 Nw 91st Ters, Sunrise, FL 33351 | 2017-04-25 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| 1487002317 | Second Chance Phoenix Ministry, Inc | Community Based Residential Treatment Facility, Mental Illness | 3218 Eagle Watch Dr, Kissimmee, FL 34746-3138 | 2016-06-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.