Active NPI
Marizayda Torres
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1083130843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMT2759
- Practice address
- 1928 Proctor Ave
Orlando, FL 32817-4200 - Phone
- (407) 227-9189
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17382 | FL | |
| Mental Health Counselor | 101YM0800X | IMT2759 | FL | Primary |
Addresses
Primary practice location
1928 Proctor Ave
Orlando, FL 32817-4200
Mailing address
2725 Bolton BND
Orlando, FL 32817-4702
Phone (407) 227-9189
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT2759 | FL | MD | Mental Health Counselor |
| MH17382 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saafe Behavioral Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Deland, FL
- NPI 1154757557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1083130843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 BOLTON BND",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328174702",
"telephone_number": "407-227-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 PROCTOR AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328174200",
"telephone_number": "407-227-9189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "MARIZAYDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17382",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMT2759",
"primary": true
}
],
"identifiers": [],
"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 Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.