Individual provider Active NPI

Paula S Navarro, MS

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1912581968
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4090 Issued in FL
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

Updated by the provider on Oct 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X IMT2813 FL
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000601 FL Practitioner - Marriage and Family Therapist 0143769331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMT2813FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Counseling Center LLC. Marriage & Family Therapist CurrentSince Aug 12, 2024 Accepting new patients
First Community Care Counselor PastSince May 9, 2021 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.

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

Verify at the official NPI Registry.