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Individual provider Active NPI

Max Magnasco, MED LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1336316553
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8841 Issued in FL
Practice address
7065 Westpointe Blvd Ste 308
Orlando, FL 32835-8758
Phone
(407) 902-8331
NPI assigned
May 15, 2008
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 MH8841 FL Primary

Addresses

Primary practice location

7065 Westpointe Blvd Ste 308
Orlando, FL 32835-8758

Mailing address

13917 Jomatt Loop
Winter Garden, FL 34787-0068

Other practice location 1

13553 Fordwell Dr
Orlando, FL 32828-8404
Phone (321) 210-8173

Other identifiers 2

IdentifierTypeStateIssuer
001428400MedicaidFL
106360900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617003632 FL Practitioner - Mental Health Counselor 0143563692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
The Lukas Company LLC CurrentSince May 13, 2025 Accepting new patients
Lukas Psychiatric Associates LLC Current Accepting new patients
Lukas Psychiatric Associates LLC Current Accepting new patients
The Lukas Company LLC Past Accepting new patients
The Lukas Company LLC Past Accepting new patients

Locations

7065 Westpointe Blvd
Ste 308
Orlando, FL 32835
Phone (407) 902-8331

15155 W Colonial Dr
Ste 784719
Winter Garden, FL 34787

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1336316553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 JOMATT LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347870068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 WESTPOINTE BLVD STE 308",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358758",
            "telephone_number": "407-902-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13553 Fordwell Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328288404",
            "country_code": "US",
            "telephone_number": "321-210-8173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNASCO",
        "first_name": "MAX",
        "credential": "MED LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001428400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106360900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.