Organization Active NPI

DBT Orlando

  • Mental Health Counselor
  • Altamonte Springs, FL
National Provider Identifier
1407447980
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DBT ORLANDO
Practice address
978 Douglas Ave Ste 107
Altamonte Springs, FL 32714-5205
Phone
(321) 417-7299
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Maribel J Rodriguez, LMCHNPI 1649686320
Title
Counselor / Owner
Phone
(407) 754-6967

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

978 Douglas Ave Ste 107
Altamonte Springs, FL 32714-5205

Mailing address

711 N Orlando Ave Ste 203a
Maitland, FL 32751-4403
Phone (407) 754-6967

Other practice location 1

711 N Orlando Ave Ste 203A
Maitland, FL 32751-4403
Phone (407) 754-6967

Other identifiers 1

IdentifierTypeStateIssuer
UNKMedicaidFL

Other names 1

  • Maribel Sharing Hope at DBT Orlando Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maribel@dbtorlando.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

978 Douglas Ave
Ste 107
Altamonte Springs, FL 32714
Phone (321) 417-7299

711 N Orlando Ave
Ste 203A
Maitland, FL 32751
Phone (321) 209-3359

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1407447980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N ORLANDO AVE STE 203A",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514403",
            "telephone_number": "407-754-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 DOUGLAS AVE STE 107",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145205",
            "telephone_number": "321-417-7299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 N Orlando Ave Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514403",
            "country_code": "US",
            "telephone_number": "407-754-6967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DBT ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR / OWNER",
        "authorized_official_telephone_number": "407-754-6967",
        "authorized_official_credential": "LMCH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNK",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maribel@dbtorlando.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "978 Douglas Ave Ste 107",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327145205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maribel Sharing Hope at DBT Orlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.