Individual provider Active NPI

Heather Marie Esteban

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1962939447
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19640 Issued in FL
Practice address
231 W Bay Ave
Longwood, FL 32750-4125
Phone
(321) 872-8032
Fax
(321) 285-4950
NPI assigned
May 16, 2017
Last updated
Apr 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 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 MH19640 FL Primary

Addresses

Primary practice location

231 W Bay Ave
Longwood, FL 32750-4125

Mailing address

255 Lake Seminary Cir
Maitland, FL 32751-3354
Phone (407) 427-6882

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
I20231214000573 FL Practitioner - Mental Health Counselor 2668821703 Practice locations: Longwood, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

231 W Bay Ave
Longwood, FL 32750-4125
Phone (321) 872-8032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shaan& Company, LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

231 W Bay Ave
Longwood, FL 32750
Phone (321) 872-8032

300 N Ronald Reagan Blvd
Ste 301
Longwood, FL 32750
Phone (407) 405-3257

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1962939447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LAKE SEMINARY CIR",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513354",
            "telephone_number": "407-427-6882",
            "fax_number": "407-650-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W BAY AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504125",
            "telephone_number": "321-872-8032",
            "fax_number": "321-285-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEBAN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.