Organization Active NPI

Firm Foundation Mental Health

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1902828809
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4756 Issued in FL
Legal business name
FIRM FOUNDATION MENTAL HEALTH
Practice address
2917 N Pine Hills Rd
Orlando, FL 32808-3539
Phone
(407) 398-0893
NPI assigned
Jul 23, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Mrs. Juanita Larry Riley, LMHCNPI 1639317001
Title
Therapist
Phone
(407) 291-1680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH4756 FL Primary

Addresses

Primary practice location

2917 N Pine Hills Rd
Orlando, FL 32808-3539

Mailing address

PO Box 607891
Orlando, FL 32860-7891
Phone (407) 291-1680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1902828809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607891",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328607891",
            "telephone_number": "407-291-1680",
            "fax_number": "407-291-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083539",
            "telephone_number": "407-398-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRM FOUNDATION MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "407-291-1680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4756",
            "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 Dec 21, 2007; 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.