Organization Active NPI

Cristina Mantilla, LMHC, LLC

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1669847901
Registry record updated Dec 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10384 Issued in FL
Legal business name
CRISTINA MANTILLA, LMHC, LLC
Practice address
5745 Main St
Suite 202
New Port Richey, FL 34652-2737
Phone
(727) 505-6379
Fax
(866) 926-7270
NPI assigned
Dec 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2015

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

Authorized official

Name
Ms. Cristina Mantilla, LMHCNPI 1215240536
Title
LMHC/Owner
Phone
(727) 505-6379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH10384 FL Primary

Addresses

Primary practice location

5745 Main St
Suite 202
New Port Richey, FL 34652-2737

Mailing address

5745 Main St
Suite 202
New Port Richey, FL 34652-2737
Phone (727) 505-6379

National Provider Directory

National Provider Directory

Locations

5745 Main St
Ste 202
New Port Richey, FL 34652
Phone (727) 505-6379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449878400000",
    "number": "1669847901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 MAIN ST",
            "address_2": "SUITE 202",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522737",
            "telephone_number": "727-505-6379",
            "fax_number": "866-926-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 MAIN ST",
            "address_2": "SUITE 202",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522737",
            "telephone_number": "727-505-6379",
            "fax_number": "866-926-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA MANTILLA, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2015-12-12",
        "status": "A",
        "authorized_official_last_name": "MANTILLA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "LMHC/OWNER",
        "authorized_official_telephone_number": "727-505-6379",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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.