Active NPI
Thriving Lives Counseling Group
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1619669355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THRIVING LIVES COUNSELING GROUP
- Practice address
- 11249 Isle of Water Bridge 103
Orlando, FL 32837 - Phone
- (689) 270-4412
- NPI assigned
- May 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Santos Valenzuela, LMHC
- Title
- MGR
- Phone
- (787) 960-5776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11249 Isle of Water Bridge 103
Orlando, FL 32837
Mailing address
11310 S Orange Blossom Trail PMB # 131
Orlando, FL 32837-9421
Phone (689) 270-4412
National Provider Directory
National Provider DirectoryLocations
11310 S Orange Blossom Trl
Orlando, FL 32837
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1619669355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11310 S ORANGE BLOSSOM TRAIL PMB # 131",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379421",
"telephone_number": "689-270-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11249 ISLE OF WATER BRIDGE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32837",
"telephone_number": "689-270-4412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVING LIVES COUNSELING GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "SANTOS VALENZUELA",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "787-960-5776",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Jeffrey A Thorstenson, CRNA
- Donna Marie Thrash, LPC
- Clifford H Threlkeld, DO
- Thrive Behavioral Sciences Orlando LLC
- Thrive IHS Integrative Health Services, LLC
- Thriving Minds Psychological Services LLC
- Josef George Thundiyil, MD
- Sheena Thurmond, MSN,APRN,PMHNP-BC
- Thomas Thuruthumalil
- Zachary Thwing, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.