Individual provider Active NPI

Elizabeth Hertenstein, LMFT

  • Marriage & Family Therapist
  • Lake Mary, FL
National Provider Identifier
1720388408
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2701 Issued in FL
Practice address
3256 W Lake Mary Blvd
Suite 1100
Lake Mary, FL 32746-3588
Phone
(407) 416-5611
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2701 FL Primary

Addresses

Primary practice location

3256 W Lake Mary Blvd
Suite 1100
Lake Mary, FL 32746-3588

Mailing address

107 Brandiwood CT
Debary, FL 32713-2242
Phone (407) 416-5611

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
MT2701FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance and Counseling Center of Central Florida LLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1720388408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BRANDIWOOD CT",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132242",
            "telephone_number": "407-416-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 W LAKE MARY BLVD",
            "address_2": "SUITE 1100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463588",
            "telephone_number": "407-416-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTENSTEIN",
        "first_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.