{
"Npi": {
"NPI": "1669753638",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KALEITA",
"FirstName": "CYNTHIA",
"MiddleName": "ANN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.A., LMHC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KALEITA",
"OtherFirstName": "CYNTHIA",
"OtherMiddleName": "A.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMHC, LLC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "215 N EOLA DR",
"SecondLineMailingAddress": "C/O GARY M. KALEITA, ESQUIRE, LDDK&R, P.A.",
"MailingAddressCityName": "ORLANDO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32801-2028",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-843-4600",
"MailingAddressFaxNumber": "407-843-4444",
"FirstLinePracticeLocationAddress": "195 WEKIVA SPRINGS RD",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "LONGWOOD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32779-6199",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-342-6288",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/06/2011",
"LastUpdateDate": "09/06/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MH8164",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}