NPIMap

Organization Active NPI

Reflections of Recovery, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mount Dora, FL
National Provider Identifier
1215476551
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
3501 Issued in FL
Legal business name
REFLECTIONS OF RECOVERY, INC
Practice address
4400 N Highway 19a
Suite 6
Mount Dora, FL 32757-2032
Phone
(352) 308-8281
NPI assigned
Feb 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kel Kornmiller
Title
Onboarding Manager
Phone
(561) 672-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 3501 FL Primary

Addresses

Primary practice location

4400 N Highway 19a
Suite 6
Mount Dora, FL 32757-2032

Mailing address

4400 N Highway 19a
Suite 6
Mount Dora, FL 32757-2032
Phone (352) 308-8281

National Provider Directory

National Provider Directory
Tax ID family
Reflections of Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4400 N Highway 19A
Ste 6
Mount Dora, FL 32757
Phone (352) 308-8281

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215476551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N HIGHWAY 19A",
            "address_2": "SUITE 6",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572032",
            "telephone_number": "352-308-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N HIGHWAY 19A",
            "address_2": "SUITE 6",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572032",
            "telephone_number": "352-308-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS OF RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KEL",
        "authorized_official_title_or_position": "ONBOARDING MANAGER",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.