Individual provider Active NPI

Norma I Roman Vega, MED

  • Professional Counselor
  • Orlando, FL
National Provider Identifier
1568030237
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6925 Lake Ellenor Dr Ste 120
Orlando, FL 32809-4648
Phone
(407) 552-5444
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X FL Primary

Addresses

Primary practice location

6925 Lake Ellenor Dr Ste 120
Orlando, FL 32809-4648

Mailing address

3858 Bay Club Cir Unit 104
Kissimmee, FL 34741-2631
Phone (787) 436-4669

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dynamicmindset@gmail.com Other

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 Education

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1568030237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 BAY CLUB CIR UNIT 104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412631",
            "telephone_number": "787-436-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 LAKE ELLENOR DR STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094648",
            "telephone_number": "407-552-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN VEGA",
        "first_name": "NORMA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dynamicmindset@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Agency Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6925 Lake Ellenor Dr Ste 120",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328094648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 17, 2021; 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.