Individual provider Active NPI

Dania M Penedo, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1841332327
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3596 Issued in FL
Practice address
7601 Conroy Windermere Rd
Suite 203
Orlando, FL 32835-2689
Phone
(407) 704-1461
Fax
(407) 704-1501
NPI assigned
Feb 13, 2007
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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 MH3596 FL Primary

Addresses

Primary practice location

7601 Conroy Windermere Rd
Suite 203
Orlando, FL 32835-2689

Mailing address

7601 Conroy Windermere Rd
Suite 203
Orlando, FL 32835-2689
Phone (407) 704-1461

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
I20240108004089 FL Practitioner - Mental Health Counselor 3779934328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Florida Psychiatric Associates, PAGroup PAC ID 6305749680, 5 clinicians

Practice addresses (Care Compare)

2802 Aloma Ave
Suite 200
Winter Park, FL 32792-3532
Phone (407) 679-8004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH3596FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Psychiatric Associates, PA Mental Health CurrentSince Dec 5, 2023 Accepting new patients
The Happy Mind Company Past Accepting new patients

Locations

2802 Aloma Ave
Ste 200
Winter Park, FL 32792
Phone (407) 679-4732

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1841332327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CONROY WINDERMERE RD",
            "address_2": "SUITE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352689",
            "telephone_number": "407-704-1461",
            "fax_number": "407-704-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CONROY WINDERMERE RD",
            "address_2": "SUITE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352689",
            "telephone_number": "407-704-1461",
            "fax_number": "407-704-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENEDO",
        "first_name": "DANIA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.