Active NPI
Sunrise Support Services LLC
- Mental Health Counselor
- Kissimmee, FL
National Provider Identifier
1164045290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SUNRISE SUPPORT SERVICES LLC
- Practice address
- 241 Ruby Ave Ste 201
Kissimmee, FL 34741-5627 - Phone
- (407) 205-8103
- Fax
- (321) 900-0611
- NPI assigned
- May 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tamara A Rosario, LMHC
- Title
- Owner
- Phone
- (407) 205-8103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
241 Ruby Ave Ste 201
Kissimmee, FL 34741-5627
Mailing address
241 Ruby Ave Ste 201
Kissimmee, FL 34741-5627
Phone (407) 205-8103
National Provider Directory
National Provider DirectoryLocations
241 Ruby Ave
Ste 201
Kissimmee, FL 34741
Phone (407) 205-8103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597795200000",
"number": "1164045290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 RUBY AVE STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415627",
"telephone_number": "407-205-8103",
"fax_number": "321-900-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 RUBY AVE STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415627",
"telephone_number": "407-205-8103",
"fax_number": "321-900-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-22",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A",
"authorized_official_last_name": "ROSARIO",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-205-8103",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Carlos Adriano Suncal Jr.
- Sunny Transportation Corp
- Sunrise Healthcare Inc
- Sunrise Pharmacy of Kissimmee LLC
- Sunrise Pharmacy of Kissimmee LLC
- Sunshine Family & Wellness Center
- Sunshine Family Transport LLC
- Sunshine Homecare Services LLC
- Sunshine Physical Therapy & Fitness Center Inc
- Sunshine Speech Therapy Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.