Individual provider Active NPI

Glenda M. Trabal, PH.D.

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1871820886
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12747 Parkbury Dr
Orlando, FL 32828-5845
Phone
(787) 223-9658
NPI assigned
Nov 11, 2009
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 Primary

Addresses

Primary practice location

12747 Parkbury Dr
Orlando, FL 32828-5845

Mailing address

12747 Parkbury Dr
Orlando, FL 32828-5845
Phone (787) 223-9658

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
I20241216001541 FL Practitioner - Clinical Psychologist 1658807508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Psychology of Central Florida LLCGroup PAC ID 4284872110, 5 clinicians

Practice addresses (Care Compare)

2521 13TH St
Suite F
Saint Cloud, FL 34769-4103
Phone (407) 900-4885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Psychology of Central Florida, LLC CurrentSince Dec 3, 2024 Accepting new patients

Locations

2521 13th St
Ste F
Saint Cloud, FL 34769
Phone (407) 841-1310

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1871820886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12747 PARKBURY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285845",
            "telephone_number": "787-223-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12747 PARKBURY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285845",
            "telephone_number": "787-223-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABAL",
        "first_name": "GLENDA",
        "middle_name": "M.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.