Active NPI
The Golden Age Mental Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rossana Cepero
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- North Miami, FL
- NPI 1093704769
-
- Case Manager/Care Coordinator
- Cape Coral, FL
- NPI 1285225912
-
- Clinical Social Worker
- Port Orange, FL
- NPI 1235685181
-
- Psychiatry Physician
- Naples, FL
- NPI 1982233631
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.