Individual provider Active NPI

Daniel C Loftis, M.A., LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1750849105
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18715 Issued in FL
Practice address
1600 E Robinson St Ste 250
Orlando, FL 32803-5955
Phone
(407) 423-3327
Fax
(401) 843-1860
NPI assigned
Mar 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 MH18715 FL Primary

Addresses

Primary practice location

1600 E Robinson St Ste 250
Orlando, FL 32803-5955

Mailing address

3656 US Highway 1
Mims, FL 32754-5505
Phone (321) 292-4528

Other practice location 1

3150 N Wickham Rd Ste 4
Melbourne, FL 32935-2322
Phone (321) 610-4703

Other identifiers 1

IdentifierTypeStateIssuer
MH18715OtherFLSTATE OF FLORIDA, DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231217000051 FL Practitioner - Mental Health Counselor 3577912476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH18715FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Everyone'S Counseling Center, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1600 E Robinson St
Ste 250
Orlando, FL 32803
Phone (407) 423-3327

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1750849105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 US HIGHWAY 1",
            "city": "MIMS",
            "state": "FL",
            "postal_code": "327545505",
            "telephone_number": "321-292-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROBINSON ST STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035955",
            "telephone_number": "407-423-3327",
            "fax_number": "401-843-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 N Wickham Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329352322",
            "country_code": "US",
            "telephone_number": "321-610-4703",
            "fax_number": "321-610-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA, DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "MH18715",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.