Individual provider Active NPI

Paola Andrea Sanchez

  • Mental Health Counselor
  • Clermont, FL
National Provider Identifier
1023728649
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Neumind Wellness Group LLC CurrentSince Dec 13, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.