Individual provider Active NPI

Luis D Garcia, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1982207957
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18676 Issued in FL
Practice address
4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015
Phone
(407) 433-3992
Fax
(407) 910-2693
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 18676 FL Primary

Addresses

Primary practice location

4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015

Mailing address

978 Cambridge CT
Kissimmee, FL 34758-2941
Phone (407) 433-3992

Other identifiers 1

IdentifierTypeStateIssuer
MH18676OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18676FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellipsis Counseling Center, LLC Mental Health CurrentSince Jun 4, 2023 Accepting new patients

Locations

4700 Millenia Blvd
Ste 175
Orlando, FL 32839
Phone (321) 332-7100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1982207957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 CAMBRIDGE CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582941",
            "telephone_number": "407-433-3992",
            "fax_number": "407-910-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396015",
            "telephone_number": "407-433-3992",
            "fax_number": "407-910-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LUIS",
        "middle_name": "D",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2023-06-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MH18676",
            "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 Jun 2, 2023; 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.