Active NPI
Sor Ortiz Colon, MA, PH. D., LPC,
- Professional Counselor
- Orange Park, FL
National Provider Identifier
1386800787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2321
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | PR-22-0013 | PR | |
| Mental Health Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC3929 | FL | MD | Mental Health Counselor |
| PR-22-0013 | PR | MD | Pastoral Counselor |
| 2321 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Hearts Welllness Center Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Ortiz Professional Services LLC | Addiction (Substance Use Disorder) | Past | 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.
-
- Clinic/Center
- Orange Park, FL
- NPI 1922832062
Addiction (Substance Use Disorder)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orange Park, FL
- NPI 1992571012
Addiction (Substance Use Disorder)
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
- Diana Collette, APRN
- Angela Sue Collier, M.D.
- Arthur Jonathan Collier, PT,ATC.LAT
- Edward Nathan Collier, PT
- Erin Hopper Collins, PHARMD
- Comfortable Care Dental Health Professionals, PA
- Comfortable Care Dental Health Professionals. P.a.
- Community Mental Health Services Center
- Compmed Care LLC
- Comprehensive Medical Care Center, PLLC
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.