Provider Type Icon

SUNSHINE STATE COUNSELING CENTER NPI 1699152553


NPI Information

NPI: 1699152553
Provider Name: SUNSHINE STATE COUNSELING CENTER
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3655 BONITA BEACH RD
SUITE 2
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 495-7722
Get Directions

SUNSHINE STATE COUNSELING CENTER is a clinical social worker in Bonita Springs, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SUNSHINE STATE COUNSELING CENTER NPI is 1699152553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3655 BONITA BEACH RD
SUITE 2
BONITA SPRINGS, FL
ZIP 34134-199
Phone: (239) 495-7722

The provider's authorized official is Diana Salazar .
The authorized official title is Co-owner/therapist and has the following contact phone number (239) 495-7722.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 4/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerISW8338FLORIDANo
2104100000XSocial WorkerSW12686FLORIDANo
31041C0700XSocial WorkerClinicalSW12686FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11003957382MEDICAIDFLORIDA
2124566645MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.