Active NPI
Ellipsis Counseling Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
National Provider Identifier
1356935381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ELLIPSIS COUNSELING CENTER, LLC
- Practice address
- 4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015 - Phone
- (407) 433-3992
- Fax
- (407) 910-2693
- NPI assigned
- Feb 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Daniel Garcia
- Title
- LMHC
- Phone
- (407) 433-3992
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015
Mailing address
978 Cambridge CT
Kissimmee, FL 34758-2941
Phone (407) 906-1224
Other practice location 1
625 E Twiggs St Ste 1069
Tampa, FL 33602-3931
Phone (407) 433-3992
National Provider Directory
National Provider DirectoryLocations
625 E Twiggs St
Ste 1069
Tampa, FL 33602
Phone (407) 433-3992
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Orlando, FL
- NPI 1982207957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1356935381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 CAMBRIDGE CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347582941",
"telephone_number": "407-906-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 MILLENIA BLVD STE 175",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328396015",
"telephone_number": "407-433-3992",
"fax_number": "407-910-2693"
}
],
"practiceLocations": [
{
"address_1": "625 E Twiggs St Ste 1069",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336023931",
"country_code": "US",
"telephone_number": "407-433-3992",
"fax_number": "407-910-2693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELLIPSIS COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-20",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "LMHC",
"authorized_official_telephone_number": "407-433-3992"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.