Active NPI
Ralph Anthony Pujol, LMFT
- Mental Health Counselor
- Deland, FL
National Provider Identifier
1245752252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MT3335
- Practice address
- 201 W Plymouth Ave
Deland, FL 32720-2753 - Phone
- (386) 717-3697
- NPI assigned
- Jul 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MT3335 | FL | Primary |
Addresses
Primary practice location
201 W Plymouth Ave
Deland, FL 32720-2753
Mailing address
1625 Hontoon Rd
Deland, FL 32720-3043
Phone (386) 717-3697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT3335 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1245752252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 HONTOON RD",
"city": "DELAND",
"state": "FL",
"postal_code": "327203043",
"telephone_number": "386-717-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327202753",
"telephone_number": "386-717-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUJOL",
"first_name": "RALPH",
"middle_name": "ANTHONY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-11",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MT3335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.