Active NPI
Alternative Directions, LLC
- Community/Behavioral Health Agency
- Orlando, FL
National Provider Identifier
1013057165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH7519
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004927300 | Medicaid | FL | |
| 00760700 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Alternative Directions
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.
-
- Rehabilitation Psychologist
- Orlando, FL
- NPI 1912365602
-
- Mental Health Counselor
- Orlando, FL
- NPI 1669824298
-
- Rehabilitation Psychologist
- Orlando, FL
- NPI 1215392584
-
- Marriage & Family Therapist
- Orlando, FL
- NPI 1811348188
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
- Rumaisa Altayib
- Herna Cyprien Altenor, D.C
- Altermease S Kimble (Quality Lifestyle Services)
- Alternative Behavior Consultants Inc.
- Alternative Directions Counseling & Consulting, LLC
- Alternative Home Health Agency, Inc.
- Alternative Medical & Rehabilitation Solutions
- Alternative Outcomes, Inc.
- Anthony Altino, M.D.
- David W Altman, DMD
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.