Active NPI
Sandra Emilce Miramontes
- Marriage & Family Therapist
- Orlando, FL
National Provider Identifier
1720379886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4558
- Practice address
- 10054 Bynum Court
Orlando, FL 32821-8276 - Phone
- (407) 724-4589
- NPI assigned
- Apr 25, 2011
- Reactivated
- Apr 24, 2023
- Last updated
- Feb 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT4558 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | LMT0000001359 | TN |
Addresses
Primary practice location
10054 Bynum Court
Orlando, FL 32821-8276
Mailing address
10054 Bynum Court
Orlando, FL 32821-8276
Phone (407) 724-4589
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 |
|---|---|---|---|
| MT4558 | FL | MD | Marriage & Family Therapist |
| LMT0000001359 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Counseling Center | Past | Accepting new patients | |
| Helen Ross McNabb Center | 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.
-
- Community/Behavioral Health Agency
- Knoxville, TN
- NPI 1376715482
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1720379886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10054 BYNUM COURT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328218276",
"telephone_number": "407-724-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10054 BYNUM COURT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328218276",
"telephone_number": "407-724-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRAMONTES",
"first_name": "SANDRA",
"middle_name": "EMILCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"deactivation_date": "2013-08-26",
"reactivation_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4558",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "LMT0000001359",
"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 Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.