Active NPI
Ada Montalvo, MENTAL HEALTH COUNSE
- Mental Health Counselor
- Temple Terrace, FL
National Provider Identifier
1689217507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61491834
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19397 | Other | FL | PROVISIONAL MENTAL HEALTH COUNSELOR LICENSE |
Other names 1
- Miss Ada Arce
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61491834 | WA | MD | Mental Health Counselor |
| 19397 | FL | MD | Physical 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.