Individual provider Active NPI

Yolanda C Vasallo

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1699987917
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2880 Issued in FL
Practice address
2316 Hillcrest St
Orlando, FL 32803-4900
Phone
(407) 894-6980
Fax
(407) 894-6982
NPI assigned
May 7, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 MH2880 FL Primary

Addresses

Primary practice location

2316 Hillcrest St
Orlando, FL 32803-4900

Mailing address

2316 Hillcrest St
Orlando, FL 32803-4900
Phone (407) 894-6980

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
MH2880FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1699987917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034900",
            "telephone_number": "407-894-6980",
            "fax_number": "407-894-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034900",
            "telephone_number": "407-894-6980",
            "fax_number": "407-894-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASALLO",
        "first_name": "YOLANDA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.