Individual provider Active NPI

Carolina Amador, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1043025091
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24969 Issued in FL
Practice address
100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773
Phone
(786) 556-7336
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 MH24969 FL Primary

Addresses

Primary practice location

100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773

Mailing address

308 S Spaulding CV
Lake Mary, FL 32746-4324
Phone (786) 556-7336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219002079 FL Practitioner - Mental Health Counselor 1153841234 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH24969FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 19, 2025 Accepting new patients
Dna Comprehensive Therapy Services, LLC Mental Health CurrentSince Jan 23, 2025 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jan 23, 2025 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 765-5437

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1043025091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S SPAULDING CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464324",
            "telephone_number": "786-556-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 150",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514773",
            "telephone_number": "786-556-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "CAROLINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.