Active NPI
Carol Marie Watler
- Mental Health Counselor
- Altamonte Springs, FL
National Provider Identifier
1740511583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9938
- Practice address
- 238 N Westmonte Dr Ste 240
Altamonte Springs, FL 32714-3364 - Phone
- (407) 834-0942
- Fax
- (407) 834-0945
- NPI assigned
- Jan 19, 2010
- 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 | MH9938 | FL | Primary |
Addresses
Primary practice location
238 N Westmonte Dr Ste 240
Altamonte Springs, FL 32714-3364
Mailing address
PO Box 954
Apopka, FL 32704-0954
Phone (407) 834-0942
Other practice location 1
221 N Highway 27 Unit A
Clermont, FL 34711-2431
Phone (352) 708-5585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003785100 | Medicaid | FL |
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 |
|---|---|---|---|
| MH9938 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Health Partners, Inc. | Single Specialty | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1821033903
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1740511583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 954",
"city": "APOPKA",
"state": "FL",
"postal_code": "327040954",
"telephone_number": "407-834-0942",
"fax_number": "407-834-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 N WESTMONTE DR STE 240",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143364",
"telephone_number": "407-834-0942",
"fax_number": "407-834-0945"
}
],
"practiceLocations": [
{
"address_1": "221 N Highway 27 Unit A",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347112431",
"country_code": "US",
"telephone_number": "352-708-5585",
"fax_number": "352-432-5922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATLER",
"first_name": "CAROL",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003785100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.