Active NPI
Lifes Path LLC
- Mental Health Counselor
- Deland, FL
National Provider Identifier
1013753235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIFES PATH LLC
- Practice address
- 101 N Woodland Blvd Ste 400
Deland, FL 32720-4296 - Phone
- (407) 794-9341
- Fax
- (386) 515-8431
- NPI assigned
- Jul 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiara Nieves, LMHC
- Title
- Owner
- Phone
- (386) 327-1519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
101 N Woodland Blvd Ste 400
Deland, FL 32720-4296
Mailing address
101 N Woodland Blvd Ste 400
Deland, FL 32720-4296
Phone (407) 794-9341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240730002811 | FL | Part B Supplier - Clinic/Group Practice | 6608313481 |
Receives reassigned benefits from 6 practitioners Practice locations: Deland, FL; Lake Helen, FL |
National Provider Directory
National Provider DirectoryLocations
101 N Woodland Blvd
Ste A306
Deland, FL 32720
Phone (321) 578-8479
101 N Woodland Blvd
Ste 400
Deland, FL 32720
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1013753235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N WOODLAND BLVD STE 400",
"city": "DELAND",
"state": "FL",
"postal_code": "327204296",
"telephone_number": "407-794-9341",
"fax_number": "386-515-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N WOODLAND BLVD STE 400",
"city": "DELAND",
"state": "FL",
"postal_code": "327204296",
"telephone_number": "407-794-9341",
"fax_number": "386-515-8431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFES PATH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-08",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "NIEVES",
"authorized_official_first_name": "KIARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-327-1519",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.