Individual provider Active NPI

Anel Fuentes Flores, BA

  • Case Manager/Care Coordinator
  • Orlando, FL
National Provider Identifier
1356880918
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5449 S Semoran Blvd Ste 20
Orlando, FL 32822-1778
Phone
(407) 734-1273
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

5449 S Semoran Blvd Ste 20
Orlando, FL 32822-1778

Mailing address

8614 Brackenwood Dr
Orlando, FL 32829-8628
Phone (407) 222-8145

Other practice location 1

110 Lexington Green Ln
Sanford, FL 32771-1025
Phone (407) 222-8145

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
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychiatric Services, LLC Case Manager/Care Coordinator CurrentSince Feb 4, 2024 Accepting new patients
Professional Behavioral Services, LLC Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

5449 S Semoran Blvd
Ste 20
Orlando, FL 32822
Phone (407) 734-1273

110 Lexington Green Ln
Sanford, FL 32771
Phone (407) 222-8145

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1356880918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 BRACKENWOOD DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298628",
            "telephone_number": "407-222-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 20",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "407-734-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Lexington Green Ln",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711025",
            "country_code": "US",
            "telephone_number": "407-222-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES FLORES",
        "first_name": "ANEL",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "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": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 31, 2024; 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.