Individual provider Active NPI

Maria Elena Zamudio, M.A.

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1992935258
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6072 Willowpointe Cir
Orlando, FL 32822-4040
Phone
(407) 716-6460
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6072 Willowpointe Cir
Orlando, FL 32822-4040

Mailing address

6072 Willowpointe Cir
Orlando, FL 32822-4040
Phone (407) 716-6460

Other identifiers 1

IdentifierTypeStateIssuer
9120559MedicaidFL

Other names 1

  • Mrs. Marielena Obrenic Professional name

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1992935258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 WILLOWPOINTE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224040",
            "telephone_number": "407-716-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 WILLOWPOINTE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224040",
            "telephone_number": "407-716-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9120559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELENA",
            "last_name": "OBRENIC",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 21, 2009; 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.