NPIMap

Organization Active NPI

Beth Davalos Counseling Center LLC

Doing business as Sunshine Senior Counseling

  • Clinical Social Worker
  • Maitland, FL
National Provider Identifier
1932760451
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BETH DAVALOS COUNSELING CENTER LLC
Doing business as
Sunshine Senior Counseling
Practice address
540 E Horatio Ave Ste 200
Maitland, FL 32751-7314
Phone
(407) 907-2825
NPI assigned
Jun 25, 2019
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Ms. Beth Dawn Davalos, LCSWNPI 1982064234
Title
Clinical Director
Phone
(407) 401-9020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

540 E Horatio Ave Ste 200
Maitland, FL 32751-7314

Mailing address

2725 Eastern Pkwy
Winter Park, FL 32789-6601
Phone (407) 620-0869

Other names 1

  • Sunshine Senior Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200117000046 FL Part B Supplier - Clinic/Group Practice 3375978414 Receives reassigned benefits from 29 practitioners
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

540 E Horatio Ave
Maitland, FL 32751
Phone (407) 401-9020

540 E Horatio Ave
Ste 200
Maitland, FL 32751
Phone (407) 401-9020

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1932760451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 EASTERN PKWY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327896601",
            "telephone_number": "407-620-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HORATIO AVE STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517314",
            "telephone_number": "407-907-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH DAVALOS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-401-9020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Senior Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.