Active NPI
Eddie Delvalle, LCCC
- Counselor
- Orlando, FL
National Provider Identifier
1457789059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCCC-076698
- Practice address
- 6021 Appian Way
Orlando, FL 32807-4304 - Phone
- (407) 342-4956
- Fax
- (407) 641-8005
- NPI assigned
- Oct 17, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCCC-076698 | FL | Primary |
Addresses
Primary practice location
6021 Appian Way
Orlando, FL 32807-4304
Mailing address
6021 Appian Way
Orlando, FL 32807-4304
Phone (407) 342-4956
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCCC-076698 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1457789059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 APPIAN WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328074304",
"telephone_number": "407-342-4956",
"fax_number": "407-641-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 APPIAN WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328074304",
"telephone_number": "407-342-4956",
"fax_number": "407-641-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELVALLE",
"first_name": "EDDIE",
"name_prefix": "Dr.",
"credential": "LCCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-17",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "LCCC-076698",
"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 Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.