Individual provider Active NPI

Jose Oscar Ortiz, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1295825263
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5212 Issued in FL
Practice address
2881 E Oakland Park Blvd Ste 304
Fort Lauderdale, FL 33306-1813
Phone
(754) 300-0988
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 MH5212 FL Primary

Addresses

Primary practice location

2881 E Oakland Park Blvd Ste 304
Fort Lauderdale, FL 33306-1813

Mailing address

610 W Las Olas Blvd Apt 1015
Fort Lauderdale, FL 33312-7129
Phone (754) 300-0988

Other practice location 1

7491 W Oakland Park Blvd Ste 308
Tamarac, FL 33319-4966
Phone (954) 746-5667

Other identifiers 1

IdentifierTypeStateIssuer
MH5212OtherFLDEPT OF HEALTH MQA

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

LicenseStateTypeSpecialty
MH5212FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J. Oscar Ortiz, P.a. Mental Health Current Accepting new patients

Locations

2881 E Oakland Park Blvd
Ste 304
Fort Lauderdale, FL 33306
Phone (305) 332-3209

110 E Broward Blvd
Ste 1700
Ft Lauderdale, FL 33301
Phone (954) 481-1598

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1295825263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W LAS OLAS BLVD APT 1015",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127129",
            "telephone_number": "754-300-0988",
            "fax_number": "954-462-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 E OAKLAND PARK BLVD STE 304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061813",
            "telephone_number": "754-300-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7491 W Oakland Park Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333194966",
            "country_code": "US",
            "telephone_number": "954-746-5667",
            "fax_number": "954-746-6387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JOSE",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH MQA",
            "identifier": "MH5212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.