Daisy Roman, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14569 Issued in FL

Practice address

17301 Pagonia Dr Ste 220a
Clermont, FL 34711-5996

Phone

(407) 602-8567

NPI assigned

Nov 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Ms. Daisy Roman Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Crossing the Bridge, Counseling Services, L.L.C.

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1548915226
  NPD Authorized official
• Crossingbridges, Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clermont, FL
  • NPI 1437647948

  Mental Health (Including Community Mental Health Center)

  NPD Authorized official

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1326375601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 BRIAR RUN DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119633",
            "telephone_number": "407-230-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17301 PAGONIA DR STE 220A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115996",
            "telephone_number": "407-602-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "DAISY",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH14569",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "811173",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548915226",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest.com",
            "affiliation": "N",
            "address_1": "17301 Pagonia Dr Ste 220A",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347115996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "ROMAN",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marialejandra Rojas
• Crystal D Rollins, OTR/L
• Antonio Gabriel Rolon
• Mary E Romain, NP
• Angel Omar Roman Munoz, M.D.
• Diannara Roman, RBT
• Marcia Regina Roman, PT, CLT, WCC
• Elizabeth Romano, LMHC
• Romc Health Services LLC
• Gabrielle Ann Romero, MS, OTR/L

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.