Active NPI
Marlena Lynn Templet, M. ED.
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1649616475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10515
- Practice address
- 2479 Aloma Ave
Winter Park, FL 32792-2541 - Phone
- (407) 657-6692
- Fax
- (407) 780-4505
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10515 | FL | Primary |
| Mental Health Counselor | 101YM0800X | 3075 | LA |
Addresses
Primary practice location
2479 Aloma Ave
Winter Park, FL 32792-2541
Mailing address
2479 Aloma Ave
Winter Park, FL 32792-2541
Phone (407) 657-6692
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10515 | FL | MD | Mental Health Counselor |
| 3075 | LA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1649616475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2479 ALOMA AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922541",
"telephone_number": "407-657-6692",
"fax_number": "407-780-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2479 ALOMA AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922541",
"telephone_number": "407-657-6692",
"fax_number": "407-780-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLET",
"first_name": "MARLENA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M. ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10515",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "3075",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.