OrganizationActive
Counseling Associates of Port Orange, Inc.
NPI 1003099516 · Mental Health Counselor · Port Orange, FL
Provider details
- NPI number
- 1003099516
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Patti Hall, Secretary/Treasurer(386) 761-2390
- License
- SW3855 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3959 S Nova Rd
Suite 5
Port Orange, FL 32127-9278
Phone: (386) 761-2390
Fax: (386) 761-3256
Street-level locationGet directions
Mailing address
3959 S Nova Rd
Port Orange, FL 32127-9278
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2007-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.