Organization Active NPI

The Golden Age Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Coral, FL
National Provider Identifier
1497649032
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE GOLDEN AGE MENTAL HEALTH LLC
Practice address
1490 NE Pine Island Rd BLDG 6
Cape Coral, FL 33909-2135
Phone
(239) 203-1248
Fax
(239) 510-2292
NPI assigned
Jun 6, 2025
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Rossana CeperoNPI 1285225912
Title
Owner
Phone
(239) 203-1248

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

1490 NE Pine Island Rd BLDG 6
Cape Coral, FL 33909-2135

Mailing address

1490 NE Pine Island Rd BLDG 6
Cape Coral, FL 33909-2135
Phone (239) 203-1248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250626000446 FL Part B Supplier - Clinic/Group Practice 6305358169 Receives reassigned benefits from 4 practitioners
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

1490 NE Pine Island Rd
Ste 6C
Cape Coral, FL 33909
Phone (239) 203-1248

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1497649032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 NE PINE ISLAND RD BLDG 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092135",
            "telephone_number": "239-203-1248",
            "fax_number": "239-510-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NE PINE ISLAND RD BLDG 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092135",
            "telephone_number": "239-203-1248",
            "fax_number": "239-510-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOLDEN AGE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "CEPERO",
        "authorized_official_first_name": "ROSSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-203-1248"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.