Active NPI
Enos Kenville Butler, LMFT
- Marriage & Family Therapist
- Kissimmee, FL
National Provider Identifier
1700508595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2581
- Practice address
- 1923 Fairway Loop
Kissimmee, FL 34746-3896 - Phone
- (407) 552-1011
- NPI assigned
- Sep 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MT2581 | FL | |
| Marriage & Family Therapist | 106H00000X | MT2581 | FL | Primary |
Addresses
Primary practice location
1923 Fairway Loop
Kissimmee, FL 34746-3896
Mailing address
1923 Fairway Loop
Kissimmee, FL 34746-3896
Phone (407) 552-1011
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT2581 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1700508595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 FAIRWAY LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463896",
"telephone_number": "407-552-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 FAIRWAY LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463896",
"telephone_number": "407-552-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "ENOS",
"middle_name": "KENVILLE",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MT2581",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.