Active NPI
Paula J Basil, LMHC NCC
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1811091101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH2500
- Practice address
- 550 N Bumby Ave
Suite 105
Orlando, FL 32803 - Phone
- (407) 399-6218
- Fax
- (407) 228-7865
- NPI assigned
- Sep 8, 2006
- 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 | MH2500 | FL | Primary |
Addresses
Primary practice location
550 N Bumby Ave
Suite 105
Orlando, FL 32803
Mailing address
550 N Bumby Ave
Suite 105
Orlando, FL 32803
Phone (407) 399-6218
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 |
|---|---|---|---|
| MH2500 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811091101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N BUMBY AVE",
"address_2": "SUITE 105",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803",
"telephone_number": "407-399-6218",
"fax_number": "407-228-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N BUMBY AVE",
"address_2": "SUITE 105",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803",
"telephone_number": "407-399-6218",
"fax_number": "407-228-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASIL",
"first_name": "PAULA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LMHC NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH2500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.