Individual provider Active NPI

Wanda Margarita Maldonado, M.S., L.M.H.C.

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1629392048
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 12067 Issued in FL
Practice address
6450 Alcalde CT Unit 110
Suite 16
Orlando, FL 32835-3065
Phone
(407) 301-8185
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 12067 FL Primary
Psychologist 103T00000X 1260 PR

Addresses

Primary practice location

6450 Alcalde CT Unit 110
Suite 16
Orlando, FL 32835-3065

Mailing address

6450 Alcalde CT Unit 110
Suite 16
Orlando, FL 32835-3065
Phone (407) 301-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212001304 FL Practitioner - Mental Health Counselor 6901255264 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH 12067FLMDMental Health Counselor
1260PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Jan 1, 2024 Accepting new patients
Inner Growth Counseling LLC Current Accepting new patients
WM Counseling Services, LLC Current Accepting new patients

Locations

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

6718 Lake Nona Blvd
Orlando, FL 32827
Phone (407) 476-1222

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Organizations & group practices 3

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1629392048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 ALCALDE CT UNIT 110",
            "address_2": "SUITE 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353065",
            "telephone_number": "407-301-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 ALCALDE CT UNIT 110",
            "address_2": "SUITE 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353065",
            "telephone_number": "407-301-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "WANDA",
        "middle_name": "MARGARITA",
        "credential": "M.S., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 12067",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.