OrganizationActive
Individual & Family Services Inc
NPI 1104034735 · Marriage & Family Therapist · Largo, FL
Provider details
- NPI number
- 1104034735
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Rosen, Owner(727) 584-4437
- License
- MT1250 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2401 W Bay Dr
Bldg 100 Suite 117
Largo, FL 33770-4900
Phone: (727) 584-4437
Fax: (727) 559-9824
Street-level locationGet directions
Mailing address
2401 W Bay Dr
Largo, FL 33770-4900
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.