Organization Active NPI

Counseling Professional of Orlando, LLC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1811364193
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12491 Issued in FL
Legal business name
COUNSELING PROFESSIONAL OF ORLANDO, LLC
Practice address
1216 E Concord St
Orlando, FL 32803-5453
Phone
(407) 896-8380
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Mrs. Ann M Kelly, LMHC
Title
Ceo/Counselor
Phone
(407) 896-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 12491 FL Primary

Addresses

Primary practice location

1216 E Concord St
Orlando, FL 32803-5453

Mailing address

1216 E Concord St
Orlando, FL 32803-5453
Phone (407) 896-8380

National Provider Directory

National Provider Directory

Locations

1216 E Concord St
Orlando, FL 32803
Phone (407) 278-6646

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1811364193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E CONCORD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035453",
            "telephone_number": "407-896-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E CONCORD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035453",
            "telephone_number": "407-896-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING PROFESSIONAL OF ORLANDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "407-896-8380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "12491",
            "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 Aug 21, 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.

Verify at the official NPI Registry.