Active NPI
Anna Izabela Torres, LMHC
- Professional Counselor
- Palm Coast, FL
National Provider Identifier
1467985523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH11118
- Practice address
- 58 Pin Oak Dr
Palm Coast, FL 32164-7013 - Phone
- (138) 687-1605
- Fax
- (386) 206-1767
- NPI assigned
- Apr 6, 2017
- Last updated
- Mar 25, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH11118 | FL | |
| Mental Health Counselor | 101YM0800X | MH11118 | FL | |
| Professional Counselor | 101YP2500X | MH11118 | FL | Primary |
Addresses
Primary practice location
58 Pin Oak Dr
Palm Coast, FL 32164-7013
Mailing address
58 Pin Oak Dr
Palm Coast, FL 32164-7013
Phone (386) 871-6055
Other names 1
- Anna Izabela Temple
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 2, 2024 through Oct 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11118 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1467985523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PIN OAK DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647013",
"telephone_number": "386-871-6055",
"fax_number": "386-206-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PIN OAK DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647013",
"telephone_number": "138-687-1605",
"fax_number": "386-206-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "ANNA",
"middle_name": "IZABELA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH11118",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11118",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH11118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "TEMPLE",
"middle_name": "IZABELA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm Coast, FL
- Joseph Tocco
- Todd Chiropractic LLC
- Emily Todd
- Tomoka Eye Associates, P.a. (Tomoka Optical)
- Karen A. Toppi, M.D.
- Total Renal Care, Inc (Preserve Pointe Dialysis)
- Total Renal Care, Inc. (Palm Coast Home Training)
- Total Vision of Palm Coast Inc (Total Vision Eye Health assoc.)
- Town Center Family Care LLC
- Emily Marie Townsend, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.