Individual provider Active NPI

Anide Charles, MS

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1720505845
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13991 Issued in FL
Practice address
3043 Antique Oaks Cir Apt 176
Winter Park, FL 32792-5666
Phone
(407) 300-4432
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13991 FL Primary

Addresses

Primary practice location

3043 Antique Oaks Cir Apt 176
Winter Park, FL 32792-5666

Mailing address

3043 Antique Oaks Cir Apt 176
Winter Park, FL 32792-5666
Phone (407) 300-4432

Other practice location 1

274 Wilshire Blvd Ste 221
Casselberry, FL 32707-5367
Phone (407) 300-4432

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13991FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720505845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 ANTIQUE OAKS CIR APT 176",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925666",
            "telephone_number": "407-300-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 ANTIQUE OAKS CIR APT 176",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925666",
            "telephone_number": "407-300-4432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 Wilshire Blvd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075367",
            "country_code": "US",
            "telephone_number": "407-300-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ANIDE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.