Active NPI
Jose E Selles, M.S.W.
- Professional Counselor
- Kissimmee, FL
National Provider Identifier
1629492590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4121 Mission CT
Apt No. 308
Kissimmee, FL 34741-1842 - Phone
- (407) 692-4676
- NPI assigned
- Feb 12, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4121 Mission CT
Apt No. 308
Kissimmee, FL 34741-1842
Mailing address
4121 Mission CT
Apt No. 308
Kissimmee, FL 34741-1842
Phone (407) 692-4676
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1629492590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 MISSION CT",
"address_2": "APT NO. 308",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347411842",
"telephone_number": "407-692-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 MISSION CT",
"address_2": "APT NO. 308",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347411842",
"telephone_number": "407-692-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLES",
"first_name": "JOSE",
"middle_name": "E",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.