NPIMap

Organization Active NPI

My Mental Health Solutions

  • Community/Behavioral Health Agency
  • Lake Mary, FL
National Provider Identifier
1306583083
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MY MENTAL HEALTH SOLUTIONS
Practice address
801 International Parkway
Fifth Floor
Lake Mary, FL 32746-4762
Phone
(786) 393-0315
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Angela Maria Hansen, LCSWNPI 1235685181
Title
Clinical Administrator/Owner
Phone
(786) 393-0315

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

801 International Parkway
Fifth Floor
Lake Mary, FL 32746-4762

Mailing address

3083 Neverland Dr
New Smyrna, FL 32168-2442
Phone (786) 393-0315

Other practice location 1

1840 W 49th St Ste 709
Hialeah, FL 33012-2944
Phone (786) 393-0315

Other identifiers 1

IdentifierTypeStateIssuer
109795800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
My Mental Health Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 International Pkwy
Fl Fifth
Lake Mary, FL 32746
Phone (786) 393-0315

Practitioners & affiliated clinicians

Practitioners 2

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1306583083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 NEVERLAND DR",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321682442",
            "telephone_number": "786-393-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 INTERNATIONAL PARKWAY",
            "address_2": "FIFTH FLOOR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464762",
            "telephone_number": "786-393-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 W 49th St Ste 709",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330122944",
            "country_code": "US",
            "telephone_number": "786-393-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY MENTAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "786-393-0315",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109795800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.