Organization Active NPI

L&M's Complete Care Mental Health Counseling, Inc.

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1225430036
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMH 10469 Issued in FL
Legal business name
L&M'S COMPLETE CARE MENTAL HEALTH COUNSELING, INC.
Practice address
750 S Orange Blossom TRL
Orlando, FL 32805-3118
Phone
(407) 756-2228
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Lucner Metellus, M.A.NPI 1205176997
Title
Mental Health Therapist
Phone
(407) 756-2228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMH 10469 FL Primary

Addresses

Primary practice location

750 S Orange Blossom TRL
Orlando, FL 32805-3118

Mailing address

3536 Lake Tiny Cir
Orlando, FL 32818-2297
Phone (407) 756-2228

Other identifiers 1

IdentifierTypeStateIssuer
12254300036MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
LM's Complete Care Mental Health Counseling2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1225430036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 LAKE TINY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328182297",
            "telephone_number": "407-756-2228",
            "fax_number": "407-250-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053118",
            "telephone_number": "407-756-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&M'S COMPLETE CARE MENTAL HEALTH COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "METELLUS",
        "authorized_official_first_name": "LUCNER",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "407-756-2228",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH 10469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12254300036",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.