Lifestream Behavioral Center Inc
A Medicare group practice based in Leesburg, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012992720), with 39 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7012992720
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 2
- Group size
- 18 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 22
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040618000512 | FL | Part B Supplier - Clinic/Group Practice | 1902802002 |
| O20100913001132 | FL | Part A Provider - Hospital | 1902802002 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lifestream Behavioral Center Inc
- Psychiatric Hospital
- Leesburg, FL
- NPI 1902802002
-
Lifestream Behavioral Center Inc
- Primary Care Clinic/Center
- Leesburg, FL
- NPI 1659613776
Practice locations
- Leesburg, FL7
- Eustis, FL3
- Clermont, FL2
- Lecanto, FL2
- Sumterville, FL1
- Inverness, FL1
- Ocala, FL1
- Mount Dora, FL1
- Ocoee, FL1
- Umatilla, FL1
- Brooksville, FL1
- Bushnell, FL1
Clinicians 39
Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (18).
-
Susan M Archacki-Resnik, ARNP-FPMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1821258484
-
Julie Avescat, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Leesburg, FL
- NPI 1063044584
-
Chantal P Baptiste, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Clermont, FL
- NPI 1851867766
-
Samuel O Battle
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
- NPI 1013635150
-
Adriana Bentum-Tilus, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Kissimmee, FL
- NPI 1801330519
-
Brad Broyles, MD
- Psychiatry Physician
- Leesburg, FL
- NPI 1629033493
-
Lailatullah Burgos, APRN, NP-C
- Family Nurse Practitioner
- Lecanto, FL
- NPI 1285785428
-
Ann Marie Alicia Burke, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Leesburg, FL
- NPI 1801364377
-
Julie M Conrad, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Clermont, FL
- NPI 1639698822
-
Miguel Angel Correa, MD
- Addiction Medicine (Family Medicine) Physician
- Leesburg, FL
- NPI 1710198239
-
David Abolarin Dada, M.D.
- Psychiatry Physician
- Orlando, FL
- NPI 1558637363
-
Abid Darr, MD
- Behavioral Neurology & Neuropsychiatry Physician
- Leesburg, FL
- NPI 1871940783
-
Andrea Loretta Ellis, FNP
- Family Nurse Practitioner
- Sanford, FL
- NPI 1770070898
-
Larhonda Marie Enslow, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Eustis, FL
- NPI 1710473517
-
Sherri Ann Ferguson, ARNP
- Nurse Practitioner
- Orlando, FL
- NPI 1669711826
-
Donald A Freeman, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Citrus Hills, FL
- NPI 1841075710
-
Amanda Gaskin, ARNP
- Nurse Practitioner
- Leesburg, FL
- NPI 1629436282
-
Susan Wambui Gray
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
- NPI 1306070701
-
Meagan Symone Jones, APRN
- Primary Care Nurse Practitioner
- Tampa, FL
- NPI 1902404726
-
Natasha Wren Kerrick, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Leesburg, FL
- NPI 1053277947
-
Emma Markey, DNP, PMHNP-BC, FNP-C
- Family Nurse Practitioner
- Tavares, FL
- NPI 1073135091
-
Praxides Mukoche Mbakaya-Chen, ARNP
- Adult Health Nurse Practitioner
- The Villages, FL
- NPI 1700168085
-
Latangra M McIntosh, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
- NPI 1831156298
-
Nageley Michel, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Clermont, FL
- NPI 1093258642
-
Yasmin B Panjwani, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Crystal River, FL
- NPI 1194266080
-
Marc-Garcia Pierre-Louis Sr., FNP
- Nurse Practitioner
- Orlando, FL
- NPI 1831587559
-
Terri Ann Saunders, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Clermont, FL
- NPI 1447724711
-
Nancy E Shaw, MSW
- Clinical Social Worker
- Lake Mary, FL
- NPI 1902125685
-
Chrystal Shirley, APRN
- Nurse Practitioner
- Leesburg, FL
- NPI 1639759764
-
Maryann Elizabeth Simpson, LCSW
- Clinical Social Worker
- Ocala, FL
- NPI 1417032780
-
Harriett Williemae Smith-McKinney, PA-C
- Medical Physician Assistant
- Belleview, FL
- NPI 1275597320
-
Altagrace K Souverain, LCSW
- Clinical Social Worker
- Lakeland, FL
- NPI 1003533423
-
Barbara Trojaniak, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Ocoee, FL
- NPI 1679927719
-
Thomas Valente, MD
- Psychiatry Physician
- Leesburg, FL
- NPI 1467416511
-
Natasha Vernon, FNP
- Family Nurse Practitioner
- Mount Dora, FL
- NPI 1437490190
-
Sharon Williamson, BA
- Clinical Social Worker
- Cincinnati, OH
- NPI 1396767638
-
Meredith Alicia Ximines-Mullings, NP
- Psychiatric/Mental Health Nurse Practitioner
- Longwood, FL
- NPI 1972385102
-
Margaret R. Yearwood, PA-C
- Physician Assistant
- Ocala, FL
- NPI 1750567087
-
Sarah Lijea Yong, M.D.
- General Practice Physician
- Gainesville, FL
- NPI 1487918389
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.