Ingrid Pinto de Otazu, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19704 Issued in FL

Practice address

751 Ashbury Ave
Melbourne, FL 32940

Phone

(321) 960-1015

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Holding Hands Florida, LLC

  • Case Management Agency
  • Melbourne, FL
  • NPI 1427748755
  NPD (past)
• Holding Hands Florida, LLC

  • Community/Behavioral Health Agency
  • Melbourne, FL
  • NPI 1962037135
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1851752992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ASHBURY AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-960-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ASHBURY AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-960-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO DE OTAZU",
        "first_name": "INGRID",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629483706",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Eye Center Inc
• Paula Marie Pino, RN
• Mark F Pinsky, DO
• Angela N Pinson, AUD
• Preston Pinson, LMHC
• Marco Antonio Pinto, DMD
• Simmy Jerry Pinto, MD
• Rebecca A Pinyan, ED.S, CC-SLP
• Alexandra R Piotrowski, DPT
• Ruben J Pipek, MD

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.