Active NPI
Jenenne R Valentino-Bottaro, LMHC
- Mental Health Counselor
- Belleview, FL
National Provider Identifier
1487145777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15996
- Practice address
- 6017 SE Robinson Rd
Belleview, FL 34420-3307 - Phone
- (352) 347-4663
- NPI assigned
- May 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15996 | FL | Primary |
Addresses
Primary practice location
6017 SE Robinson Rd
Belleview, FL 34420-3307
Mailing address
720 US Highway 441
#1079
Lady Lake, FL 32159
Phone (352) 636-5466
Other practice location 1
411 W Main St
Leesburg, FL 34748-5122
Phone (352) 636-5466
Other practice location 2
601 Second Ave
Lady Lake, FL 32159-4629
Phone (352) 636-5466
Other names 1
- Jenenne R Valentino
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 |
|---|---|---|---|
| MH15996 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands of Mercy Everywhere, Inc. | Past | Accepting new patients | |
| Angel Kids PA | 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.
-
- Primary Care Clinic/Center
- Jacksonville, FL
- NPI 1124162854
-
- Foster Care Agency
- Belleview, FL
- NPI 1417280181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1487145777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 US HIGHWAY 441",
"address_2": "#1079",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-636-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6017 SE ROBINSON RD",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344203307",
"telephone_number": "352-347-4663"
}
],
"practiceLocations": [
{
"address_1": "411 W Main St",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347485122",
"country_code": "US",
"telephone_number": "352-636-5466",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Second Ave",
"address_purpose": "LOCATION",
"city": "Lady Lake",
"state": "FL",
"postal_code": "321594629",
"country_code": "US",
"telephone_number": "352-636-5466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENTINO-BOTTARO",
"first_name": "JENENNE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2022-11-28",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENENNE",
"last_name": "VALENTINO",
"middle_name": "R",
"credential": "LMHC-S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Belleview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.