Active NPI
Jennifer Trotter, MA
- Marriage & Family Therapist
- Maitland, FL
National Provider Identifier
1518272194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2444
- Practice address
- 100 E Sybelia Ave
Suite 380
Maitland, FL 32751-4763 - Phone
- (407) 353-1484
- NPI assigned
- Aug 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10052 | FL | |
| Marriage & Family Therapist | 106H00000X | MT2444 | FL | Primary |
Addresses
Primary practice location
100 E Sybelia Ave
Suite 380
Maitland, FL 32751-4763
Mailing address
102 Whitecaps Cir
Maitland, FL 32751-5852
Phone (407) 353-1484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12093435 | Other | FL | CAQH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10052 | FL | MD | Mental Health Counselor |
| MT2444 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480723200000",
"number": "1518272194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WHITECAPS CIR",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515852",
"telephone_number": "407-353-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SYBELIA AVE",
"address_2": "SUITE 380",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514763",
"telephone_number": "407-353-1484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTER",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-08",
"last_updated": "2016-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10052",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12093435",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.