Organization Active NPI

Bluefire Wellness LLC

  • Mental Health Counselor
  • Oviedo, FL
National Provider Identifier
1972979680
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMH13015 Issued in FL
Legal business name
BLUEFIRE WELLNESS LLC
Practice address
870 Clark St
Suite 1030
Oviedo, FL 32765-9270
Phone
(407) 393-5435
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Mrs. Ute Krantz, LMHC, NCC, CTT
Title
Owner
Phone
(407) 393-5435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LMH13015 FL Primary

Addresses

Primary practice location

870 Clark St
Suite 1030
Oviedo, FL 32765-9270

Mailing address

870 Clark St
Suite 1030
Oviedo, FL 32765-9270
Phone (407) 393-5435

Other identifiers 1

IdentifierTypeStateIssuer
Z07CPOtherFLNEW DIRECTIONS, FLORIDA BLUE

National Provider Directory

National Provider Directory

Locations

870 Clark St
Ste 1030
Oviedo, FL 32765
Phone (407) 393-5435

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1972979680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLARK ST",
            "address_2": "SUITE 1030",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-393-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLARK ST",
            "address_2": "SUITE 1030",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-393-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIRE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "UTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-393-5435",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, NCC, CTT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMH13015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DIRECTIONS, FLORIDA BLUE",
            "identifier": "Z07CP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.