Individual provider Active NPI

Ada Montalvo, MENTAL HEALTH COUNSE

  • Mental Health Counselor
  • Temple Terrace, FL
National Provider Identifier
1689217507
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61491834 Issued in WA
Practice address
510 Coach LN
Temple Terrace, FL 33617-3717
Phone
(646) 358-6816
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19397 FL
Mental Health Counselor 101YM0800X MC61491834 WA Primary

Addresses

Primary practice location

510 Coach LN
Temple Terrace, FL 33617-3717

Mailing address

7509 Key Largo Dr Apt 411
Winter Park, FL 32792-6900
Phone (813) 363-1631

Other identifiers 1

IdentifierTypeStateIssuer
19397OtherFLPROVISIONAL MENTAL HEALTH COUNSELOR LICENSE

Other names 1

  • Miss Ada Arce Former name

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

State licenses

LicenseStateTypeSpecialty
MC61491834WAMDMental Health Counselor
19397FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1689217507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 KEY LARGO DR APT 411",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926900",
            "telephone_number": "813-363-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 COACH LN",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173717",
            "telephone_number": "646-358-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "ADA",
        "name_prefix": "Mrs.",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19397",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61491834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVISIONAL MENTAL HEALTH COUNSELOR LICENSE",
            "identifier": "19397",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADA",
            "last_name": "ARCE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.