Organization Active NPI

Novusvita

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1326455783
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH6666 Issued in FL
Legal business name
NOVUSVITA
Practice address
612 E Colonial Dr
Suite 390
Orlando, FL 32803-4650
Phone
(321) 872-8627
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Tyson H Kuch, PHD
Title
Therapist
Phone
(321) 872-8627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IMH6666 FL Primary

Addresses

Primary practice location

612 E Colonial Dr
Suite 390
Orlando, FL 32803-4650

Mailing address

612 E Colonial Dr
Suite 390
Orlando, FL 32803-4650
Phone (321) 872-8627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1326455783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E COLONIAL DR",
            "address_2": "SUITE 390",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034650",
            "telephone_number": "321-872-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E COLONIAL DR",
            "address_2": "SUITE 390",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034650",
            "telephone_number": "321-872-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUSVITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "KUCH",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "321-872-8627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH6666",
            "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 Jul 17, 2014; 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.