NPIMap

Organization Active NPI

Seminole Community Mental Health Center, Inc

  • Counselor
  • Orlando, FL
National Provider Identifier
1487867982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SEMINOLE COMMUNITY MENTAL HEALTH CENTER, INC
Practice address
5713 Creek Dale Dr
Orlando, FL 32810-3981
Phone
(407) 297-1811
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Phyllis Cassandra Harris, MASTER'S DEGREE
Title
Crisis Support Specialist
Phone
(407) 321-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5713 Creek Dale Dr
Orlando, FL 32810-3981

Mailing address

5713 Creekdale Drive
Orlando, FL 32810
Phone (407) 297-1811

National Provider Directory

National Provider Directory
Tax ID family
Seminole Behavior Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487867982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 CREEKDALE DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32810",
            "telephone_number": "407-297-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 CREEK DALE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103981",
            "telephone_number": "407-297-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE COMMUNITY MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "CASSANDRA",
        "authorized_official_title_or_position": "CRISIS SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "407-321-4357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTER'S DEGREE"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.