Active NPI
Juante Vanterpool
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1306105218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004217-1
- Practice address
- 750 S Orange Blossom TRL
Suite 220
Orlando, FL 32805-3118 - Phone
- (646) 825-1358
- NPI assigned
- May 11, 2012
- Last updated
- Jan 29, 2013
- 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 | 004217-1 | NY | Primary |
Addresses
Primary practice location
750 S Orange Blossom TRL
Suite 220
Orlando, FL 32805-3118
Mailing address
5434 Baldwin Park St
104
Orlando, FL 32814-6942
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 |
|---|---|---|---|
| 004217-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1306105218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5434 BALDWIN PARK ST",
"address_2": "104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 S ORANGE BLOSSOM TRL",
"address_2": "SUITE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053118",
"telephone_number": "646-825-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTERPOOL",
"first_name": "JUANTE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-11",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004217-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.