Active NPI
Iris G Santos Counseling LLC
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1952053803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- IRIS G SANTOS COUNSELING LLC
- Practice address
- 6249 Edgewater Dr # 1058
Orlando, FL 32810-4739 - Phone
- (321) 438-5826
- NPI assigned
- Jan 21, 2022
- Last updated
- Dec 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Iris Griselda Santos, LCSW
- Title
- Owner
- Phone
- (689) 231-1235
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
6249 Edgewater Dr # 1058
Orlando, FL 32810-4739
Mailing address
6249 Edgewater Dr # 1058
Orlando, FL 32810-4739
Phone (689) 231-1235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111169900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6249 Edgewater Dr
#1058
Orlando, FL 32810
Phone (321) 438-5826
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Orlando, FL
- NPI 1053875104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672099200000",
"number": "1952053803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6249 EDGEWATER DR # 1058",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328104739",
"telephone_number": "689-231-1235",
"fax_number": "877-388-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6249 EDGEWATER DR # 1058",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328104739",
"telephone_number": "321-438-5826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRIS G SANTOS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-21",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "IRIS",
"authorized_official_middle_name": "GRISELDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "689-231-1235",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111169900",
"state": "FL"
}
],
"endpoints": [],
"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 Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.