NPIMap

Organization Active NPI

Alpha Christian Counseling SVCS of Central Florida

Doing business as Alpha Counseling

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1013949361
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH8231 Issued in FL
Legal business name
ALPHA CHRISTIAN COUNSELING SVCS OF CENTRAL FLORIDA
Doing business as
Alpha Counseling
Practice address
8000 S Orange Ave Ste 111
Orlando, FL 32809-6747
Phone
(407) 240-7003
Fax
(407) 240-7003
NPI assigned
Jul 7, 2006
Organization subpart
Yes
Parent organization
ALPHA CHRISTIAN COUNSELING SVCS OF CENTRAL FLORIDAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Danilo Polanco, PH.D
Title
Clinical Director
Phone
(407) 240-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH8231 FL Primary

Addresses

Primary practice location

8000 S Orange Ave Ste 111
Orlando, FL 32809-6747

Mailing address

8000 S Orange Ave Ste 111
Orlando, FL 32809-6747
Phone (407) 240-7003

Other identifiers 1

IdentifierTypeStateIssuer
018742300MedicaidFL

Other names 1

  • Alpha Counseling Doing business as

National Provider Directory

National Provider Directory
Part of
Alpha Christian Counseling SVCS of Central Florida

Locations

8000 S Orange Ave
Ste 111
Orlando, FL 32809
Phone (407) 240-7003

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1013949361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S ORANGE AVE STE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096747",
            "telephone_number": "407-240-7003",
            "fax_number": "407-240-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 S ORANGE AVE STE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096747",
            "telephone_number": "407-240-7003",
            "fax_number": "407-240-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CHRISTIAN COUNSELING SVCS OF CENTRAL FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA CHRISTIAN COUNSELING SVCS OF CENTRAL FLORIDA",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-240-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH8231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018742300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2019; 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.