Active NPI
Latino Leadership, Inc.
Doing business as Latino Leadership Behavioral Health
- Community/Behavioral Health Agency
- Kissimmee, FL
National Provider Identifier
1205596350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LATINO LEADERSHIP, INC.
- Doing business as
- Latino Leadership Behavioral Health
- Practice address
- 4545 Pleasant Hill Rd Ste 101
Kissimmee, FL 34759-3400 - Phone
- (407) 895-0801
- Fax
- (407) 895-0803
- NPI assigned
- Dec 29, 2021
- Organization subpart
- Yes
- Parent organization
- LATINO LEADERSHIP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marucci Guzman
- Title
- Executive Director
- Phone
- (407) 895-0801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4545 Pleasant Hill Rd Ste 101
Kissimmee, FL 34759-3400
Mailing address
8617 E Colonial Dr Ste 1600
Orlando, FL 32817-3937
Phone (407) 895-0801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC13239 | Other | FL | HEALTH CARE CLINIC CERTIFICATE OF EXEMPTION |
Other names 1
- Latino Leadership Behavioral Health
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | osceola@behavioralhealth.com | Health Information Exchange (HIE) | |
| CONNECT URL | https//ehr.icanotes.com | Health Information Exchange (HIE) | |
| CONNECT URL | www.myabilitynetwork.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Latino Leadership Inc
- Part of
- Latino Leadership Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Titusville, FL
- NPI 1144980251
-
dba Santiago and Friends (Sanford)
- Behavior Analyst
- Sanford, FL
- NPI 1356001473
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1518613223
-
- Case Management Agency
- Orlando, FL
- NPI 1730835364
-
- Community/Behavioral Health Agency
- Kissimmee, FL
- NPI 1629783386
Locations
4545 Pleasant Hill Rd
Ste 101
Kissimmee, FL 34759
Phone (888) 578-3188
4545 Pleasant Hill Rd
Ste 201
Kissimmee, FL 34759
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1518613223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1205596350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8617 E COLONIAL DR STE 1600",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328173937",
"telephone_number": "407-895-0801",
"fax_number": "407-895-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 PLEASANT HILL RD STE 101",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593400",
"telephone_number": "407-895-0801",
"fax_number": "407-895-0803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATINO LEADERSHIP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LATINO LEADERSHIP, INC.",
"enumeration_date": "2021-12-29",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "MARUCCI",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "407-895-0801",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE CLINIC CERTIFICATE OF EXEMPTION",
"identifier": "HCC13239",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "osceola@behavioralhealth.com",
"affiliation": "N",
"endpointDescription": "Client & Business Associates Portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF, Word",
"address_1": "4545 Pleasant Hill Rd Ste 201",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347593400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https//ehr.icanotes.com",
"affiliation": "N",
"endpointDescription": "Medical Records System",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Client Demographics, Tx Documentation, Insurance, Scheduling",
"address_1": "4545 Pleasant Hill Rd Ste 201",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347593400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.myabilitynetwork.com",
"affiliation": "N",
"endpointDescription": "Insurance Verification System",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Insurance ID's and Eligibility",
"address_1": "4545 Pleasant Hill Rd Ste 201",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347593400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Latino Leadership Behavioral Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Latino Leadership Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kissimmee, FL
- Lasting Smiles of Kissimmee LLC (Columbia Dental Care and Associates)
- Randolph Hayes Latimore, PT
- Latin Care Inc (Latin Care LLC)
- Latin Foundation for Health, Inc.
- Latin Urgent Care Inc
- Latino Leadership, Inc. Dba Santiago & Friends
- Thais Alessandra Latoni
- Lorena M Latorre
- Yohara Latorre
- Tatyana Latorres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.