Constellation Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONSTELLATION SUPPORT SERVICES LLC

Practice address

5726 Old Cheney Hwy
Orlando, FL 32807-3525

Phone

(407) 900-5278

NPI assigned

Dec 26, 2022

Organization subpart

No

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

Authorized official

Name

Coralis CalderonNPI 1659862837

Title

Owner

Phone

(407) 902-5919

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Idalis N/a Rodriguez Quinones, M.S.W.

  • Clinical Social Worker
  • Rockledge, FL
  • NPI 1619055126
  Medicare reassignment Care Compare group NPD
• Coralis Calderon

  • Social Worker
  • Orlando, FL
  • NPI 1659862837
  NPD Authorized official
• Yanet Perdomo, LCSW

  • Mental Health Counselor
  • Oviedo, FL
  • NPI 1649403437
  Care Compare group
• Beatriz Amador, MHC

  • Pastoral Counselor
  • Orlando, FL
  • NPI 1881495034
  NPD
• Jeannette Lissette Cruz Acevedo

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1275326779
  NPD
• Alexis Roberto Gonzalez Valles, MD

  • General Practice Physician
  • Saint Cloud, FL
  • NPI 1407409386
  NPD
• Herminia Judy

  • Student in an Organized Health Care Education/Training Program
  • Orlando, FL
  • NPI 1861376055

  Single Specialty

  NPD
• Katia Patricia Mendez

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1316836612
  NPD
• Yaritza Rivera Tirado

  • Social Worker
  • Orlando, FL
  • NPI 1396626214
  NPD
• Odalis Rivera

  • Case Manager/Care Coordinator
  • Orlando, FL
  • NPI 1053202085
  NPD
• Yadyra Lee Vega Lopez

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1356152441
  NPD

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1205549078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 OLD CHENEY HWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073525",
            "telephone_number": "407-900-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 OLD CHENEY HWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073525",
            "telephone_number": "407-900-5278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 S Volusia Ave",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637302",
            "country_code": "US",
            "telephone_number": "386-600-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSTELLATION SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "CORALIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-902-5919"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114731200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "Electronic Files",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5726 Old Cheney Hwy",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328073525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirsten Nicole Zaldarriaga Consing, DO
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• Gregorie Constant-Peter, MD
• Robert B Constant, M.D.
• Lindsey Constantine, M.A., CCC-SLP
• Gianni Lissette Consuegra
• Consulting Medical Services, LLC
• Consultorio Medico Familiar Orlando LLC
• Amber Conte
• James Conte Jr.

• Community/Behavioral Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.