Individual provider Active NPI

Janis Monrose Modeste, ED.D, M.ED.

  • Behavior Technician
  • Clermont, FL
National Provider Identifier
1982314498
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
181282 Issued in FL
Practice address
1725 E Hwy 50 Ste a
Clermont, FL 34711-5188
Phone
(352) 978-7424
Fax
(886) 363-0930
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Behavior Technician 106S00000X 181282 FL Primary

Addresses

Primary practice location

1725 E Hwy 50 Ste a
Clermont, FL 34711-5188

Mailing address

1211 Windy Meadow Dr
Minneola, FL 34715-5607
Phone (352) 978-7424

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.vibesnetwork.org/ Direct

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
181282FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Masters Educational Foundation, Inc Health & Wellness Coach CurrentSince Nov 27, 2022 Accepting new patients

Locations

1725 E State Road 50
Ste A
Clermont, FL 34711
Phone (352) 708-6097

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": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1982314498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 WINDY MEADOW DR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155607",
            "telephone_number": "352-978-7424",
            "fax_number": "886-363-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E HWY 50 STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115188",
            "telephone_number": "352-978-7424",
            "fax_number": "886-363-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTE",
        "first_name": "JANIS",
        "middle_name": "MONROSE",
        "name_prefix": "Dr.",
        "credential": "ED.D, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "181282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.vibesnetwork.org/",
            "affiliation": "N",
            "endpointDescription": "Organization Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.vibesnetwork.org/",
            "address_1": "1725 E Hwy 50 Ste A",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347115188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.