Active NPI
Max Ivan Cantarero, MSW
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1861077984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 482 S Keller Rd
Orlando, FL 32810-6130 - Phone
- (689) 204-3341
- NPI assigned
- Mar 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | FL | Primary |
Addresses
Primary practice location
482 S Keller Rd
Orlando, FL 32810-6130
Mailing address
3964 Woods Rider Loop
Odessa, FL 33556-4837
Phone (718) 440-1256
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1861077984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3964 WOODS RIDER LOOP",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564837",
"telephone_number": "718-440-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "482 S KELLER RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328106130",
"telephone_number": "689-204-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTARERO",
"first_name": "MAX",
"middle_name": "IVAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": null,
"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 Mar 10, 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.