Individual provider Active NPI

Efrain Iglesias Rios, LMHC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1912169152
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9239 Issued in FL
Practice address
3501 W Vine St Ste 294
Kissimmee, FL 34741-4684
Phone
(407) 247-3088
Fax
(407) 247-3088
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 MH9239 FL Primary

Addresses

Primary practice location

3501 W Vine St Ste 294
Kissimmee, FL 34741-4684

Mailing address

3411 Dovetail Ave
Kissimmee, FL 34741-2938
Phone (407) 247-3088

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
I20240131003099 FL Practitioner - Mental Health Counselor 4880047323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9239FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CFL Counseling Associates Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

3501 W Vine St
Ste 382
Kissimmee, FL 34741
Phone (407) 247-3088

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1912169152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 DOVETAIL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412938",
            "telephone_number": "407-247-3088",
            "fax_number": "407-483-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST STE 294",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414684",
            "telephone_number": "407-247-3088",
            "fax_number": "407-247-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS RIOS",
        "first_name": "EFRAIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.