Individual provider Active NPI

Soraya W Orr

  • Professional Counselor
  • Jacksonville, FL
National Provider Identifier
1679212450
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH23416 Issued in FL
Practice address
12169 Millford LN N
Jacksonville, FL 32246-0662
Phone
(904) 881-0194
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC.0018327 CO
Professional Counselor 101YP2500X MH23416 FL Primary

Addresses

Primary practice location

12169 Millford LN N
Jacksonville, FL 32246-0662

Mailing address

12169 Millford LN N
Jacksonville, FL 32246-0662
Phone (904) 881-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240124001038 CO Practitioner - Mental Health Counselor 4082067285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0018327COMDCounselor
MH23416FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
No Problem Too Small LLC Single Specialty CurrentSince Nov 20, 2022 Accepting new patients
Achieve Whole Recovery PC CurrentSince Jan 12, 2024 Accepting new patients
Achieve Whole Recovery, PC CurrentSince Jan 12, 2024 Accepting new patients
Achieve Whole Recovery, PC Single Specialty Current Accepting new patients

Locations

1942 Broadway
Ste 314C
Boulder, CO 80302
Phone (719) 203-1465

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

1905 N Sherman St
Ste 900
Denver, CO 80203
Phone (303) 749-5150

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1679212450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12169 MILLFORD LN N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460662",
            "telephone_number": "904-881-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12169 MILLFORD LN N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460662",
            "telephone_number": "904-881-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "SORAYA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0018327",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH23416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.