Organization Active NPI

Ellipsis Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
National Provider Identifier
1356935381
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Luis Daniel GarciaNPI 1982207957
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.