Individual provider Active NPI

Carolyn Mota, MS/MA

  • Mental Health Counselor
  • Altamonte Springs, FL
National Provider Identifier
1891103602
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13793 Issued in FL
Practice address
801 Douglas Ave
Suite 208
Altamonte Springs, FL 32714-5206
Phone
(407) 830-6312
Fax
(407) 830-8413
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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 13793 FL Primary

Addresses

Primary practice location

801 Douglas Ave
Suite 208
Altamonte Springs, FL 32714-5206

Mailing address

5910 Strickland Ave.
Lakeland, FL 33812
Phone (617) 952-9481

Other names 1

  • Ms. Carolyn Mota Professional name

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
Credentials
Master of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Support Services, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1891103602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 STRICKLAND AVE.",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33812",
            "telephone_number": "617-952-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DOUGLAS AVE",
            "address_2": "SUITE 208",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145206",
            "telephone_number": "407-830-6312",
            "fax_number": "407-830-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTA",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "MS/MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MOTA",
            "prefix": "MS.",
            "credential": "MS/MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.