Individual provider Active NPI

Jenenne R Valentino-Bottaro, LMHC

  • Mental Health Counselor
  • Belleview, FL
National Provider Identifier
1487145777
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15996 Issued in FL
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

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
MH15996FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Mercy Everywhere, Inc. PastSince Dec 6, 2022 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.

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.

Verify at the official NPI Registry.