Active NPI
Timothy W Langerholc, LMHC
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1700321569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16200
- Practice address
- 2500 Maitland Center Pkwy Ste 250
Maitland, FL 32751-4174 - Phone
- (407) 351-7080
- Fax
- (407) 351-6930
- NPI assigned
- Jan 3, 2017
- Last updated
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16200 | FL | Primary |
Addresses
Primary practice location
2500 Maitland Center Pkwy Ste 250
Maitland, FL 32751-4174
Mailing address
617 Roberta Ave
Orlando, FL 32803-6929
Phone (561) 376-9765
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 |
|---|---|---|---|
| MH16200 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Season of Ohio L P | Past | Accepting new patients | |
| New Season of Ohio L P | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba New Season Mentor Treatment Center
- Methadone Clinic
- Mentor, OH
- NPI 1225657091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1700321569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 ROBERTA AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328036929",
"telephone_number": "561-376-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MAITLAND CENTER PKWY STE 250",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514174",
"telephone_number": "407-351-7080",
"fax_number": "407-351-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGERHOLC",
"first_name": "TIMOTHY",
"middle_name": "W",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-03",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.