Pediatric Counseling Network

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEDIATRIC COUNSELING NETWORK

Practice address

416 Bella Vida Blvd
Orlando, FL 32828-6716

Phone

(407) 490-4080

NPI assigned

Nov 7, 2024

Last updated

Nov 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chelimer Miro Rivera, LMHCNPI 1871968008

Title

Ceo

Phone

(407) 490-7064

Specialties & licenses 1

Addresses

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.

• Chelimer Miro Rivera, MHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1871968008
  NPD Authorized official

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1972326833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BELLA VIDA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286716",
            "telephone_number": "407-490-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BELLA VIDA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286716",
            "telephone_number": "407-490-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC COUNSELING NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MIRO RIVERA",
        "authorized_official_first_name": "CHELIMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-490-7064",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.