Active NPI
Firm Foundation Mental Health
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1902828809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4756
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH4756 | Other | FL | LICENSED COUNSELOR |
National Provider Directory
National Provider DirectoryNPI 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.