Adel Marie Ceballos-Rosario, LMHC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

MH14780 Issued in FL

Practice address

1575 Detrick Ave
Deland, FL 32724-2042

Phone

(407) 906-8633

NPI assigned

Feb 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inner Awakening Therapy Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deland, FL
  • NPI 1205325297
  NPD Authorized official

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1790225613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 62ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122648",
            "telephone_number": "786-253-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 DETRICK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327242042",
            "telephone_number": "407-906-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS-ROSARIO",
        "first_name": "ADEL",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14780",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH14780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Chandler Case, APRN, FNP-C
• Jose Luis Castillo, PHARM D.
• Ana L Castoro, MD
• Marques Andre Castro, PT, DPT
• Natalie Dawn Cauffman, RDMS RVT RT(R)
• Tama Tahia Cencebaugh
• Center for Pulmonary Medicine, P.a.
• Central Florida Balance LLC
• Central Florida Cataract and Laser Surgery Center, Inc.
• Central Florida Eye Specialists PL

• Behavior Analyst in Deland, FL
• Providers in Deland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.