Individual provider Active NPI

Carolina Suero

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1912746504
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1012 Emmett St Ste a
Kissimmee, FL 34741-5415
Phone
(407) 382-9079
Fax
(407) 964-1274
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 Primary

Addresses

Primary practice location

1012 Emmett St Ste a
Kissimmee, FL 34741-5415

Mailing address

1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785
Phone (407) 382-9079

Other practice location 1

1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785
Phone (407) 382-9079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Family Counseling Inc CurrentSince May 26, 2024 Accepting new patients

Locations

1012 Emmett St
Ste A
Kissimmee, FL 34741
Phone (407) 870-9336

1707 Orlando Central Pkwy
Ste 480
Orlando, FL 32809
Phone (321) 337-8225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1912746504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 ORLANDO CENTRAL PKWY STE 480",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095785",
            "telephone_number": "407-382-9079",
            "fax_number": "407-964-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 EMMETT ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415415",
            "telephone_number": "407-382-9079",
            "fax_number": "407-964-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Orlando Central Pkwy Ste 480",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328095785",
            "country_code": "US",
            "telephone_number": "407-382-9079",
            "fax_number": "407-964-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUERO",
        "first_name": "CAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.