Active NPI
Jennalee Giraldo
- Mental Health Counselor
- Kissimmee, FL
National Provider Identifier
1275930315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20489
- Practice address
- 109 N Beaumont Ave
Kissimmee, FL 34741-5120 - Phone
- (321) 328-0916
- NPI assigned
- Dec 3, 2014
- Sex
- Female
- 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 | 20489 | FL | Primary |
Addresses
Primary practice location
109 N Beaumont Ave
Kissimmee, FL 34741-5120
Mailing address
8338 Fort Thomas Way
Orlando, FL 32822-7167
Phone (407) 484-6777
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | positivemindsetgroup.com |
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 |
|---|---|---|---|
| 20489 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1275930315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8338 FORT THOMAS WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328227167",
"telephone_number": "407-484-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N BEAUMONT AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415120",
"telephone_number": "321-328-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRALDO",
"first_name": "JENNALEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "20489",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "positivemindsetgroup.com",
"affiliation": "N",
"address_1": "109 N Beaumont Ave",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347415120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.