Individual provider Active NPI

Raquel Ralat Martinez

  • Mental Health Counselor
  • Lake Alfred, FL
National Provider Identifier
1538655337
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW22493 Issued in FL
Practice address
608 Griffon Ave
Lake Alfred, FL 33850-2580
Phone
(407) 301-7299
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW22493 FL
Mental Health Counselor 101YM0800X SW22493 FL Primary

Addresses

Primary practice location

608 Griffon Ave
Lake Alfred, FL 33850-2580

Mailing address

1701 Park Center Dr Ste 100
Orlando, FL 32835-6235
Phone (407) 301-7299

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317000203 FL Practitioner - Clinical Social Worker 2365964657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1701 Park Ctr Dr
Suite 100
Orlando, FL 32835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Health Center LLC Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Akeso Behavioral Health Services PastSince Jan 1, 2024 Accepting new patients

Locations

1701 Park Center Dr
Ste 100
Orlando, FL 32835
Phone (407) 301-7299

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1538655337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PARK CENTER DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356235",
            "telephone_number": "407-301-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GRIFFON AVE",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502580",
            "telephone_number": "407-301-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALAT MARTINEZ",
        "first_name": "RAQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22493",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW22493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "6100 Lake Ellenor Dr Ste 212",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328094632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Alfred, FL

Sources for this page

Verify at the official NPI Registry.