Individual provider Active NPI

Angela Ortiz Canque-Kaplan, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1194291849
Registry record updated Oct 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16391 Issued in FL
Practice address
300 E Madison St Ste 201
Tampa, FL 33602-4813
Phone
(813) 609-6946
Fax
(813) 609-6947
NPI assigned
Oct 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2018

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 MH16391 FL Primary

Addresses

Primary practice location

300 E Madison St Ste 201
Tampa, FL 33602-4813

Mailing address

11213 Cedar Hollow LN
Tampa, FL 33618-8703
Phone (941) 661-1211

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

LicenseStateTypeSpecialty
MH16391FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Life Today, Inc Past Accepting new patients
Loving Life Therapy Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: revolutionarychangecounseling.angelacanquekaplan@148019.advancedmd-direct.com

Organizations & group practices 2

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": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540080000000",
    "number": "1194291849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11213 CEDAR HOLLOW LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188703",
            "telephone_number": "941-661-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MADISON ST STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024813",
            "telephone_number": "813-609-6946",
            "fax_number": "813-609-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANQUE-KAPLAN",
        "first_name": "ANGELA",
        "middle_name": "ORTIZ",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2018-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.