THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS INC. NPI 1154891422

NPI Information

NPI: 1154891422
Provider Name: THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4700 MILLENIA BLVD STE 175
ORLANDO, FL
ZIP 32839
Phone: (132) 133-2710
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THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS, INC. is a mental health counselor in Orlando, FL. THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS, INC. NPI is 1154891422. The provider is registered as an organization entity type.

The provider's business location address is:

4700 MILLENIA BLVD STE 175
ORLANDO, FL
ZIP 32839-015
Phone: (132) 133-2710
Fax: (866) 493-0920

The provider's authorized official is Carmelo Baez .
The authorized official title is Ceo/ncmdr and has the following contact phone number (321) 332-7100.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 4/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	252Y00000X	Early Intervention Provider Agency		No
2	374K00000X	Religious Nonmedical Practitioner		No
3	101YP1600X	Counselor	Pastoral	No
4	101YP2500X	Counselor	Professional	No
5	106H00000X	Marriage & Family Therapist		No
6	171M00000X	Case Manager/Care Coordinator		No
7	251B00000X	Case Management		No
8	251S00000X	Community/Behavioral Health		No
9	251V00000X	Voluntary or Charitable		No
10	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101541400	MEDICAID	FLORIDA
2	104797200	MEDICAID	FLORIDA
3	161242	OTHER	FLORIDA	WELLCARE
4	1060527	OTHER	FLORIDA	BEACON HEALTH OPTIONS
5	M5945	OTHER	FLORIDA	FIRST COST SERVICES OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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