Organization Active NPI

Latino Leadership, Inc.

Doing business as Latino Leadership Behavioral Health

  • Community/Behavioral Health Agency
  • Kissimmee, FL
National Provider Identifier
1205596350
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
HCC13239OtherFLHEALTH CARE CLINIC CERTIFICATE OF EXEMPTION

Other names 1

  • Latino Leadership Behavioral Health Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
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 Inc6 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.