Active NPI
Paola Andrea Sanchez
- Mental Health Counselor
- Clermont, FL
National Provider Identifier
1023728649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2113 Ruby Red Blvd Ste D
Clermont, FL 34714-6115 - Phone
- (352) 394-0573
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2113 Ruby Red Blvd Ste D
Clermont, FL 34714-6115
Mailing address
522 Jacks Way
Davenport, FL 33837-8215
Phone (787) 209-7644
Other practice location 1
1176 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 201-2103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neumind Wellness Group LLC | Current | Accepting new patients | |
| Florida Vein Care Specialists LLC | Past | Accepting new patients |
Locations
2113 Ruby Red Blvd
Ste D
Clermont, FL 34714
Phone (352) 394-0573
1176 Cypress Glen Cir
Kissimmee, FL 34741
Phone (352) 394-0573
Interoperability endpoints
- https://api.platform.athenahealth.com/7464/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Clermont, FL
- NPI 1396101697
-
- Vascular Surgery Physician
- Davenport, FL
- NPI 1689917445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1023728649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 JACKS WAY",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338378215",
"telephone_number": "787-209-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 RUBY RED BLVD STE D",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347146115",
"telephone_number": "352-394-0573"
}
],
"practiceLocations": [
{
"address_1": "1176 Cypress Glen Cir",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347417560",
"country_code": "US",
"telephone_number": "407-201-2103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "PAOLA",
"middle_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.