Individual provider Active NPI

Patricia V Valery, MA IMH13233

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1528435286
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH13233 Issued in FL
Practice address
1601 N Goldenrod Rd
Orlando, FL 32807-8308
Phone
(407) 704-7811
Fax
(407) 382-0659
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH13233 FL Primary

Addresses

Primary practice location

1601 N Goldenrod Rd
Orlando, FL 32807-8308

Mailing address

1601 N Goldenrod Rd
Orlando, FL 32807-8308
Phone (407) 704-7811

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

LicenseStateTypeSpecialty
IMH13233FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1528435286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078308",
            "telephone_number": "407-704-7811",
            "fax_number": "407-382-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078308",
            "telephone_number": "407-704-7811",
            "fax_number": "407-382-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERY",
        "first_name": "PATRICIA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "MA IMH13233",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH13233",
            "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 28, 2015; 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.