Individual provider Active NPI

Lisa Ann Alvarez, LMHC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1639715196
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11989 Issued in FL
Practice address
2705 Wolcott LN
Kissimmee, FL 34747-1817
Phone
(813) 245-3134
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 11989 FL Primary

Addresses

Primary practice location

2705 Wolcott LN
Kissimmee, FL 34747-1817

Mailing address

2705 Wolcott LN
Kissimmee, FL 34747-1817
Phone (813) 245-3134

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lisaalva33@hotmail.com

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

State licenses

LicenseStateTypeSpecialty
11989FLMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: lisa.alvarez.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1639715196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 WOLCOTT LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471817",
            "telephone_number": "813-245-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 WOLCOTT LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471817",
            "telephone_number": "813-245-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lisaalva33@hotmail.com",
            "affiliation": "N",
            "address_1": "2705 Wolcott Ln",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347471817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 20, 2019; 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.