Active NPI
Anide Charles, MS
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1720505845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13991
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13991 | FL | MD | Mental 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
- Charles English & Associates LLC (CEA Health Counseling)
- Charles English, PH.D. & Associates (Charles English, Ph.D. and Associates)
- Charles J Koller MD PA
- Charles J Koller MD PA
- Charles Mella M.D. P.a.
- Lee Ann Demza Charles, MD
- Karen Regina Charron, ARNP
- Kessem Chartor
- Karen Framhein Chase, LMHC
- Lalit Shanker Chaube, M.D.
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.