Individual provider Active NPI

Sor Ortiz Colon, MA, PH. D., LPC,

  • Professional Counselor
  • Orange Park, FL
National Provider Identifier
1386800787
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2321 Issued in PR
Practice address
1855 Wells Rd Ste 1
Orange Park, FL 32073-6766
Phone
(904) 523-1287
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X PR-22-0013 PR
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X TPMC3929 FL
Addiction (Substance Use Disorder) Psychologist 103TA0400X PR
Counseling Psychologist 103TC1900X PR
Family Psychologist 103TF0000X PR
Addiction (Substance Use Disorder) Counselor 101YA0400X PR
Professional Counselor 101YP2500X 2321 PR Primary

Addresses

Primary practice location

1855 Wells Rd Ste 1
Orange Park, FL 32073-6766

Mailing address

1855 Wells Rd Ste 1
Orange Park, FL 32073-6766
Phone (904) 523-1287

Other practice location 1

16 Calle Jose C. Barbosa
Suite 3
Las Piedras, PR 00771
Phone (904) 523-1287

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 Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TPMC3929FLMDMental Health Counselor
PR-22-0013PRMDPastoral Counselor
2321PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Hearts Welllness Center Inc Addiction (Substance Use Disorder) PastSince May 18, 2025 Accepting new patients
Ortiz Professional Services LLC Addiction (Substance Use Disorder) PastSince May 18, 2025 Accepting new patients

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1386800787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 WELLS RD STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736766",
            "telephone_number": "904-523-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 WELLS RD STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736766",
            "telephone_number": "904-523-1287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Calle Jose C. Barbosa",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Las Piedras",
            "state": "PR",
            "postal_code": "00771",
            "country_code": "US",
            "telephone_number": "904-523-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "SOR",
        "middle_name": "ORTIZ",
        "name_prefix": "Dr.",
        "credential": "MA, PH. D., LPC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "PR",
            "license": "PR-22-0013",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC3929",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "2321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.