Active NPI
Rosa Everly
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1700147444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16825
- Practice address
- 1651 N Semoran Blvd
Orlando, FL 32807-3575 - Phone
- (407) 249-1234
- Fax
- (407) 249-1755
- NPI assigned
- May 30, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16825 | FL | Primary |
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1651 N Semoran Blvd
Orlando, FL 32807-3575
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 967-6400
Other practice location 1
239 Saint James Pl
Longwood, FL 32750-6172
Phone (407) 223-5698 ext. 3014
Other practice location 2
632 Maitland Ave
Altamonte Springs, FL 32701-6834
Phone (321) 347-9929
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 |
|---|---|---|---|
| 16825 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1700147444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "954-967-6400",
"fax_number": "954-337-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 N SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073575",
"telephone_number": "407-249-1234",
"fax_number": "407-249-1755"
}
],
"practiceLocations": [
{
"address_1": "239 Saint James Pl",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327506172",
"country_code": "US",
"telephone_number": "407-223-5698 x3014",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "632 Maitland Ave",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327016834",
"country_code": "US",
"telephone_number": "321-347-9929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERLY",
"first_name": "ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "16825",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.