Active NPI
Gloria I. Arevalo
- Counselor
- Beverly Hills, FL
National Provider Identifier
1619273349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2581 W Apricot Dr
Beverly Hills, FL 34465-3054 - Phone
- (352) 527-8221
- Fax
- (352) 527-8222
- NPI assigned
- Jan 27, 2011
- Last updated
- Jan 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2581 W Apricot Dr
Beverly Hills, FL 34465-3054
Mailing address
PO Box 640447
Beverly Hills, FL 34464-0447
Phone (352) 527-8221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690885397 | Medicaid | FL | |
| 690885398 | Medicaid | FL | |
| 690885396 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| This Is Your Home Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Beverly Hills, FL
- NPI 1215226857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1619273349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640447",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344640447",
"telephone_number": "352-527-8221",
"fax_number": "352-527-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2581 W APRICOT DR",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344653054",
"telephone_number": "352-527-8221",
"fax_number": "352-527-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREVALO",
"first_name": "GLORIA",
"middle_name": "I.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "690885397",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "690885398",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "690885396",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, FL
- Venkatreddy Alugubelli, M.D.
- American Diagnostic Medicine (Open MRI of Beverly Hills)
- American Radiation Oncology Associates, Inc (Cancer Treatment Center of the Nature Coast)
- Murali Mohan Angirekula, M.D
- Arellano Dental, P.a.
- Teresa Armato
- Ashish Sanon MD PA
- Clarke Avellanosa
- Jasmine Nicole Avitia
- Laurie Anne Ayers, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.