Active NPI
Bluefire Wellness LLC
- Mental Health Counselor
- Oviedo, FL
National Provider Identifier
1972979680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMH13015
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z07CP | Other | FL | NEW DIRECTIONS, FLORIDA BLUE |
National Provider Directory
National Provider DirectoryLocations
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.