Individual provider Active NPI

Henriette Kitshoff Yonts

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1093212326
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3496 Issued in FL
Practice address
100 Columbia St
Orlando, FL 32806-1006
Phone
(407) 245-0014
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3496 FL Primary

Addresses

Primary practice location

100 Columbia St
Orlando, FL 32806-1006

Mailing address

1016 Vernon Loop
Oviedo, FL 32765-6012
Phone (407) 256-6662

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
I20240315002537 FL Practitioner - Marriage and Family Therapist 5597101238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Psychology of Central Florida LLCGroup PAC ID 4284872110, 5 clinicians

Practice addresses (Care Compare)

2521 13TH St
Suite F
Saint Cloud, FL 34769-4103
Phone (407) 900-4885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Psychology of Central Florida, LLC CurrentSince Feb 23, 2024 Accepting new patients

Locations

2521 13th St
Ste F
Saint Cloud, FL 34769
Phone (407) 841-1310

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.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1093212326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 VERNON LOOP",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656012",
            "telephone_number": "407-256-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061006",
            "telephone_number": "407-245-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONTS",
        "first_name": "HENRIETTE",
        "middle_name": "KITSHOFF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.