Individual provider Active NPI

Doris Elizabeth Banister-Hazama, M.S.

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1588099493
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
REG. INTERN 1284 Issued in FL
Practice address
1021 E Robinson St
Orlando, FL 32801-2004
Phone
(407) 423-3327
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X REG. INTERN 1284 FL Primary

Addresses

Primary practice location

1021 E Robinson St
Orlando, FL 32801-2004

Mailing address

705 Kissimmee PL
Winter Springs, FL 32708-4619
Phone (407) 619-7692

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 Science

State licenses

LicenseStateTypeSpecialty
REG. INTERN 1284FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Episcopal Counseling Center Past Accepting new patients
Episcopal Counseling Center of Central Florida, Inc. Past Accepting new patients

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1588099493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 KISSIMMEE PL",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084619",
            "telephone_number": "407-619-7692",
            "fax_number": "407-696-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012004",
            "telephone_number": "407-423-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANISTER-HAZAMA",
        "first_name": "DORIS",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "REG. INTERN 1284",
            "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 Sep 10, 2013; 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.