NPIMap

Organization Active NPI

Ignite Community Counseling & Resource Center

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1497207997
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 12449 Issued in FL
Legal business name
IGNITE COMMUNITY COUNSELING & RESOURCE CENTER
Practice address
3561 South Pine Ave
Ocala, FL 34471-6612
Phone
(352) 512-0090
Fax
(352) 512-0966
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Mr. Joshua Luis Sarmiento, LMHCNPI 1386086825
Title
Director
Phone
(352) 512-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X MH 12449 FL
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MH 12449 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH 12449 FL Primary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X MH 12449 FL

Addresses

Primary practice location

3561 South Pine Ave
Ocala, FL 34471-6612

Mailing address

3561 South Pine Ave
Ocala, FL 34471-6612
Phone (352) 512-0090

Other identifiers 1

IdentifierTypeStateIssuer
019881600MedicaidFL

National Provider Directory

National Provider Directory

Locations

3561 S Pine Ave
Ocala, FL 34471
Phone (352) 512-0090

923 N Magnolia Ave
Ste 1000
Ocala, FL 34475
Phone (352) 727-8031

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1497207997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 SOUTH PINE AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716612",
            "telephone_number": "352-512-0090",
            "fax_number": "352-512-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 SOUTH PINE AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716612",
            "telephone_number": "352-512-0090",
            "fax_number": "352-512-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE COMMUNITY COUNSELING & RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "SARMIENTO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-512-0090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH 12449",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH 12449",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 12449",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "MH 12449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019881600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.