Desiree R. Bermudez, MS, CAP, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12841 Issued in FL

Practice address

111 Jewel Dr
Altamonte Springs, FL 32714-2706

Phone

(407) 968-8197

Fax

(407) 599-5002

NPI assigned

Jul 20, 2015

Last updated

Jul 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1619352606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951282",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327951282",
            "telephone_number": "407-968-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JEWEL DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142706",
            "telephone_number": "407-968-8197",
            "fax_number": "407-599-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "DESIREE",
        "middle_name": "R.",
        "credential": "MS, CAP, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC007068",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Smith Inc (Bridge Language Services)
• Nakiaya Benjamin
• David John Bennett, DC
• Wendy Chase Bennett, MS, MA LMHC
• Pamela Walz Bergstedt, COTA
• Juliana P. Bermudez, D.D.S.
• Karla Marie Bermudez, APRN, FNP-BC
• Raymond Bernstein, M.D.
• Ali Lashan Berry, DC
• Kellie Berry

• Mental Health Counselor in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 20, 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.