NPIMap

Organization Active NPI

Ekilibrium, Inc.

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1225608557
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EKILIBRIUM, INC.
Practice address
2707 E Jefferson St
Orlando, FL 32803-6116
Phone
(305) 440-8920
Fax
(786) 431-2573
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Gladys Aroche, LMHC-SNPI 1982898284
Title
President
Phone
(305) 440-8920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

2707 E Jefferson St
Orlando, FL 32803-6116

Mailing address

667 Errol Pkwy
Apopka, FL 32712-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715001405 FL Part B Supplier - Clinic/Group Practice 3274048657 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory
Tax ID family
Ekilibrium 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

5881 NW 151st St
Ste 111
Miami Lakes, FL 33014
Phone (305) 440-8920

2707 E Jefferson St
Orlando, FL 32803
Phone (305) 440-8920

Practitioners & affiliated clinicians

Practitioners 11

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": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1225608557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 ERROL PKWY",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E JEFFERSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036116",
            "telephone_number": "305-440-8920",
            "fax_number": "786-431-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKILIBRIUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "AROCHE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-440-8920",
        "authorized_official_credential": "LMHC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 29, 2021; 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.