Matilde Fonseca, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17049 Issued in FL

Practice address

8726 W Waters Ave
Tampa, FL 33615-1714

Phone

(137) 121-7268

Fax

(813) 915-1589

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• American Care of North Florida, Inc

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1053679787
  NPD (past)
• Personal Wellness Solutions, LLC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1639851512
  NPD (past)
• Personal Wellness Solutions, P.a.

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1164827838
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1639721517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "305-278-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151714",
            "telephone_number": "137-121-7268",
            "fax_number": "813-915-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "MATILDE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falon Fonoti
• Alina Fonseca Perez, RBT
• Sailin Fonseca Portelles
• Claudia C Fonseca Remon
• Aida Z. Fonseca, MSW
• Rudisdelvis Fonseca
• Alina Font, PH.D.
• Jorge Font
• Emmilia Fontaine, PHARMD
• Jacques-Pierre Fontaine, M.D.

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, 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 Feb 15, 2024; 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.