Organization Active NPI

Alternative Directions, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1013057165
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH7519 Issued in FL
Legal business name
ALTERNATIVE DIRECTIONS, LLC
Practice address
5758 S Semoran Blvd
Orlando, FL 32822-4818
Phone
(407) 644-4367
Fax
(407) 622-1200
NPI assigned
Feb 7, 2007
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Ms. Sherry Stapp Mattos, LMHC
Title
Ceo
Phone
(407) 644-4367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH7519 FL Primary

Addresses

Primary practice location

5758 S Semoran Blvd
Orlando, FL 32822-4818

Mailing address

5758 S Semoran Blvd
Orlando, FL 32822-4818
Phone (407) 644-4367

Other identifiers 2

IdentifierTypeStateIssuer
004927300MedicaidFL
00760700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Alternative Directions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5758 S Semoran Blvd
Orlando, FL 32822
Phone (407) 644-4367

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1013057165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224818",
            "telephone_number": "407-644-4367",
            "fax_number": "407-622-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224818",
            "telephone_number": "407-644-4367",
            "fax_number": "407-622-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE DIRECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MATTOS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "STAPP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-644-4367",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004927300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00760700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.