Active NPI
Marleine Flaurestale, MA
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1134561954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 23914
- Practice address
- 5768 S Semoran Blvd
Orlando, FL 32822-4818 - Phone
- (689) 204-3361
- NPI assigned
- Jul 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 1134561954 | FL | |
| Mental Health Counselor | 101YM0800X | 23914 | FL | Primary |
Addresses
Primary practice location
5768 S Semoran Blvd
Orlando, FL 32822-4818
Mailing address
210 Pioneer Way
Royal Palm Beach, FL 33411-6237
Phone (561) 352-6503
Other practice location 1
2001 Blue Heron Blvd W
Riviera Beach, FL 33404-5003
Phone (561) 841-3500
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134561954 | FL | MD | Developmental Therapist |
| 23914 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1134561954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PIONEER WAY",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334116237",
"telephone_number": "561-352-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5768 S SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328224818",
"telephone_number": "689-204-3361"
}
],
"practiceLocations": [
{
"address_1": "2001 Blue Heron Blvd W",
"address_purpose": "LOCATION",
"city": "Riviera Beach",
"state": "FL",
"postal_code": "334045003",
"country_code": "US",
"telephone_number": "561-841-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAURESTALE",
"first_name": "MARLEINE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "1134561954",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "23914",
"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 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.