Organization Active NPI

Frontier Therapy LLC.

  • Adult Mental Health Clinic/Center
  • Orlando, FL
National Provider Identifier
1013400118
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FRONTIER THERAPY LLC.
Practice address
430 N Mills Ave Ste 4
Orlando, FL 32803-5746
Phone
(407) 423-0790
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Andrew Watson, LMHCNPI 1558746842
Title
Owner
Phone
(407) 497-0760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

430 N Mills Ave Ste 4
Orlando, FL 32803-5746

Mailing address

430 N Mills Ave Ste 4
Orlando, FL 32803-5746
Phone (407) 423-0790

Other identifiers 1

IdentifierTypeStateIssuer
14268544OtherCAQH

National Provider Directory

National Provider Directory

Locations

430 N Mills Ave
Ste 4
Orlando, FL 32803
Phone (407) 259-4286

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1013400118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MILLS AVE STE 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035746",
            "telephone_number": "407-423-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MILLS AVE STE 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035746",
            "telephone_number": "407-423-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-497-0760",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14268544",
            "state": null
        }
    ],
    "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 Jun 13, 2018; 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.