Felipe Fonseca, LLC.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MH14147 Issued in FL

Legal business name

FELIPE FONSECA, LLC.

Practice address

2260 Glenwood Dr
Winter Park, FL 32792-3312

Phone

(845) 826-0727

Fax

(407) 892-8346

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. BJ Johnson II

Title

Billing Specialist

Phone

(845) 826-0727

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Inner Peace Awareness Counseling, LLC. Doing business as

Tax ID family

Felipe Fonseca LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Inner Peace Awareness Counseling LLC

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1942094685
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felipe Fonseca, LMHC, MCAP

  • Mental Health Counselor
  • Saint Cloud, FL
  • NPI 1679904791
  NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1598284259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 WINDBOURNE WAY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726858",
            "telephone_number": "845-826-0727",
            "fax_number": "407-892-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 GLENWOOD DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923312",
            "telephone_number": "845-826-0727",
            "fax_number": "407-892-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIPE FONSECA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BJ",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "845-826-0727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH14147",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "601184189",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4879059",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020576300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "QJK6X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Peace Awareness Counseling, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roslyn Fedd
• Brandy Fedewa
• Lauren Feeney
• Bennett Stephen Feld, PA
• Emery Feldman, PHARMD
• Adam S. Fenichel, M.D.
• Fenn Systems Inc.
• Martine Kay Fenstermacher, AU.D., CCC-A
• Rebecca Fequiere Dorlis
• Sibile Fequiere

• Addiction (Substance Use Disorder) Counselor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.