Organization Active NPI

Outlook Mental Health, LLC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1275250698
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OUTLOOK MENTAL HEALTH, LLC
Practice address
100 E Sybelia Ave Ste 260
Maitland, FL 32751-4709
Phone
(321) 209-2244
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Daniel Fisher, ED.S.NPI 1659717858
Title
Owner
Phone
(321) 209-2244

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

100 E Sybelia Ave Ste 260
Maitland, FL 32751-4709

Mailing address

100 E Sybelia Ave Ste 260
Maitland, FL 32751-4709
Phone (321) 209-2244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240430003168 FL Part B Supplier - Clinic/Group Practice 1951741586 Receives reassigned benefits from 1 practitioner
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

100 E Sybelia Ave
Ste 260
Maitland, FL 32751
Phone (321) 209-0035

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1275250698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 260",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514709",
            "telephone_number": "321-209-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 260",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514709",
            "telephone_number": "321-209-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLOOK MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-209-2244",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.