Individual provider Active NPI

Linnette Santos Robles, M. ED., LMHC

  • Mental Health Counselor
  • Lake Clarke Shores, FL
National Provider Identifier
1679820039
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12636 Issued in FL
Practice address
1499 Forest Hill Blvd Ste 101
Lake Clarke Shores, FL 33406-6050
Phone
(561) 307-5843
Fax
(561) 328-3441
NPI assigned
Aug 4, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MH12636 FL Primary

Addresses

Primary practice location

1499 Forest Hill Blvd Ste 101
Lake Clarke Shores, FL 33406-6050

Mailing address

8129 Sedgewick CT
Apt a
Lake Clarke, FL 33406-8472
Phone (561) 307-5843

Other identifiers 1

IdentifierTypeStateIssuer
01675800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20240620001311 FL Practitioner - Mental Health Counselor 2860935772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679820039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 SEDGEWICK CT",
            "address_2": "APT A",
            "city": "LAKE CLARKE",
            "state": "FL",
            "postal_code": "334068472",
            "telephone_number": "561-307-5843",
            "fax_number": "561-328-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD STE 101",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-307-5843",
            "fax_number": "561-328-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS ROBLES",
        "first_name": "LINNETTE",
        "credential": "M. ED., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01675800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

Verify at the official NPI Registry.