Active NPI
Paula S Navarro, MS
- Marriage & Family Therapist
- Orlando, FL
National Provider Identifier
1912581968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4090
- Practice address
- 3125 Bruton Blvd Ste a
Orlando, FL 32805-6608 - Phone
- (407) 514-4470
- Fax
- (407) 386-7862
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMT2813 | FL | |
| Marriage & Family Therapist | 106H00000X | MT4090 | FL | Primary |
Addresses
Primary practice location
3125 Bruton Blvd Ste a
Orlando, FL 32805-6608
Mailing address
12004 Burton St
Clermont, FL 34711-8853
Phone (407) 607-0347
Other practice location 1
12004 Burton St
Clermont, FL 34711-8853
Phone (407) 607-0347
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Orlando | Direct | |
| CONNECT URL | Orlando |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT2813 | FL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucid Counseling Center LLC. | Marriage & Family Therapist | Current | Accepting new patients |
| First Community Care | Counselor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Clermont, FL
- NPI 1326764432
FL, Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667001600000",
"number": "1912581968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12004 BURTON ST",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118853",
"telephone_number": "407-607-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 BRUTON BLVD STE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328056608",
"telephone_number": "407-514-4470",
"fax_number": "407-386-7862"
}
],
"practiceLocations": [
{
"address_1": "12004 Burton St",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347118853",
"country_code": "US",
"telephone_number": "407-607-0347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVARRO",
"first_name": "PAULA",
"middle_name": "S",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-06",
"last_updated": "2022-10-29",
"certification_date": "2022-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "FL",
"license": "IMT2813",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4090",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Orlando",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3125 Bruton Blvd Ste A",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328056608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Orlando",
"affiliation": "N",
"address_1": "3125 Bruton Blvd Ste A",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328056608",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.