Individual provider Active NPI

Natalie A Nejad

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1225745334
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH23238 Issued in FL
Practice address
12617 Narcoossee Rd Ste 110
Orlando, FL 32832-7148
Phone
(407) 738-9408
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH23238 FL Primary

Addresses

Primary practice location

12617 Narcoossee Rd Ste 110
Orlando, FL 32832-7148

Mailing address

12617 Narcoossee Rd Ste 110
Orlando, FL 32832-7148
Phone (407) 738-9408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205000393 FL Practitioner - Mental Health Counselor 5890225916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH23238FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Consulting Holdings, LLC Mental Health CurrentSince Jan 30, 2025 Accepting new patients

Locations

5449 S Semoran Blvd
Ste 216C
Orlando, FL 32822
Phone (407) 272-6695

213 S Dillard St
Ste 120B
Winter Garden, FL 34787
Phone (407) 734-3338

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1225745334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 NARCOOSSEE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327148",
            "telephone_number": "407-738-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 NARCOOSSEE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327148",
            "telephone_number": "407-738-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAD",
        "first_name": "NATALIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.