Individual provider Active NPI

Rosa M Salja-Mota, LMFT

  • Marriage & Family Therapist
  • Lake Mary, FL
National Provider Identifier
1649548785
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2455 Issued in FL
Practice address
2500 W Lake Mary Blvd Ste 103
Lake Mary, FL 32746-3501
Phone
(407) 616-4620
NPI assigned
Dec 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2455 FL Primary

Addresses

Primary practice location

2500 W Lake Mary Blvd Ste 103
Lake Mary, FL 32746-3501

Mailing address

6485 Everingham LN
Sanford, FL 32771-6431
Phone (407) 616-4620

Other names 1

  • Rosa Mota Professional name

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
I20240514002356 FL Practitioner - Marriage and Family Therapist 7315388915 Practice locations: Lake Mary, FL

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2500 W Lake Mary Blvd
Suite 103
Lake Mary, FL 32746-3501
Phone (407) 616-4620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1649548785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 EVERINGHAM LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716431",
            "telephone_number": "407-616-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD STE 103",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-616-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALJA-MOTA",
        "first_name": "ROSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "MOTA",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.