Active NPI
Mitchell Pentecost
- Mental Health Counselor
- Winter Garden, FL
National Provider Identifier
1265241012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 232 S Dillard St Ste 220
Winter Garden, FL 34787-3510 - Phone
- (407) 204-1101
- NPI assigned
- Jan 6, 2025
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
232 S Dillard St Ste 220
Winter Garden, FL 34787-3510
Mailing address
4516 Oak Arbor Cir
Orlando, FL 32808-5989
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1265241012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4516 OAK ARBOR CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328085989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 S DILLARD ST STE 220",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873510",
"telephone_number": "407-204-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENTECOST",
"first_name": "MITCHELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
- Pediatric Therapy Services of Greater Orlando, LLC
- Pediatrix Medical Group of Florida Inc
- Beth Amato Pekar, MA, CCC/SLP
- Amy Penaloza, APRN
- Hongtao Peng
- Peopleone Health Florida, LLC
- Andrew Michael Pepper, M.D.
- Warren Jose Peralta Castro, M.D.
- Edgar Eduardo Perez Freites, RN
- Marinely Coromoto Perez Tejeda
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.