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
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, LMHC
Title
Therapist
Phone
(407) 291-1680

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

Other identifiers 1

IdentifierTypeStateIssuer
MH4756OtherFLLICENSED COUNSELOR

National Provider Directory

National Provider Directory

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED COUNSELOR",
            "identifier": "MH4756",
            "state": "FL"
        }
    ],
    "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.