Active NPI
Michele Gail Dennis, LMHC
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1760655666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 10743
- Practice address
- 1009 Maitland Center Commons Blvd
Suite # 212
Maitland, FL 32751-7270 - Phone
- (321) 430-8924
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 | MH 10743 | FL | Primary |
Addresses
Primary practice location
1009 Maitland Center Commons Blvd
Suite # 212
Maitland, FL 32751-7270
Mailing address
1009 Maitland Center Commons Blvd
#212
Maitland, FL 32751-7270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0042436-00 | 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 |
|---|---|---|---|
| MH 10743 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cavallaro Counseling LLC | Mental Health | 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 Counselor
- Lake Mary, FL
- NPI 1629781919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1760655666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 MAITLAND CENTER COMMONS BLVD",
"address_2": "#212",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 MAITLAND CENTER COMMONS BLVD",
"address_2": "SUITE # 212",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517270",
"telephone_number": "321-430-8924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "MICHELE",
"middle_name": "GAIL",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 10743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0042436-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.