Christina Socorro Niestzche

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH13630 Issued in FL

Practice address

3105 Poppyseed CT
Orlando, FL 32826-2507

Phone

(727) 249-4541

NPI assigned

Jul 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1588049654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 POPPYSEED CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262507",
            "telephone_number": "727-249-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 POPPYSEED CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262507",
            "telephone_number": "727-249-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESTZCHE",
        "first_name": "CHRISTINA",
        "middle_name": "SOCORRO",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH13630",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT 2306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mignon Teresa Nielsen, CRNA
• Melanie Nielson, CRNA
• Allyson Mary Niemier, BS
• Ryan Nierstedt, MD
• Teri L Nies, ARNP
• Jonathan Nieto
• Jaclyn M Nietzer, PA
• Ashlynn Ruby Nieuwenhuis
• Yoandra Nieves Borges, PHD
• Luisa M. Nieves Lopez, M.D.

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.