Active NPI
Jessica Santos Valenzuela, MS
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1366929655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 21348
- Practice address
- 5401 S Kirkman Rd Ste 730
Orlando, FL 32819-7911 - Phone
- (321) 332-6984
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 21348 | FL | Primary |
Addresses
Primary practice location
5401 S Kirkman Rd Ste 730
Orlando, FL 32819-7911
Mailing address
11310 S Orange Blossom Trail PMB # 131
Orlando, FL 32837-6443
Phone (689) 270-4412
Other practice location 1
2813 S Hiawassee Rd Ste 301
Orlando, FL 32835-6690
Phone (321) 209-8219
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21348 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Lives Counseling Group | Mental Health | Current | Accepting new patients |
| Total Health Guidance, LLC | Mental Health | Past | Accepting new patients |
| Victorious Living Counseling and Consulting LLC | Past | Accepting new patients |
Locations
11310 S Orange Blossom Trl
Orlando, FL 32837
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1205319175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683331200000",
"number": "1366929655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11310 S ORANGE BLOSSOM TRAIL PMB # 131",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376443",
"telephone_number": "689-270-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S KIRKMAN RD STE 730",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197911",
"telephone_number": "321-332-6984"
}
],
"practiceLocations": [
{
"address_1": "2813 S Hiawassee Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328356690",
"country_code": "US",
"telephone_number": "321-209-8219",
"fax_number": "321-445-5601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS VALENZUELA",
"first_name": "JESSICA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2023-05-06",
"certification_date": "2023-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "21348",
"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 May 6, 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.