Individual provider Active NPI

Rene Del Sol, M.A., LMHC, BCPC

  • Mental Health Counselor
  • Avon Park, FL
National Provider Identifier
1659383560
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5116 Issued in FL
Practice address
2523 US Highway 27 S
Suite 130
Avon Park, FL 33825-9690
Phone
(863) 452-0710
Fax
(863) 452-0142
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5116 FL Primary

Addresses

Primary practice location

2523 US Highway 27 S
Suite 130
Avon Park, FL 33825-9690

Mailing address

2523 US Highway 27 S
Suite 130
Avon Park, FL 33825-9690
Phone (863) 452-0710

Other identifiers 1

IdentifierTypeStateIssuer
761802600MedicaidFL

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 Arts

State licenses

LicenseStateTypeSpecialty
MH5116FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1659383560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 US HIGHWAY 27 S",
            "address_2": "SUITE 130",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259690",
            "telephone_number": "863-452-0710",
            "fax_number": "863-452-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 US HIGHWAY 27 S",
            "address_2": "SUITE 130",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259690",
            "telephone_number": "863-452-0710",
            "fax_number": "863-452-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL SOL",
        "first_name": "RENE",
        "name_prefix": "Mr.",
        "credential": "M.A., LMHC, BCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761802600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.