Individual provider Active NPI

Blayne Sienna Elliott, LMHC

  • Mental Health Counselor
  • New Smyrna Beach, FL
National Provider Identifier
1023871191
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23212 Issued in FL
Practice address
103 N Orange St Unit E
New Smyrna Beach, FL 32168-7027
Phone
(386) 222-1150
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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 MH23212 FL Primary

Addresses

Primary practice location

103 N Orange St Unit E
New Smyrna Beach, FL 32168-7027

Mailing address

91 Elmhurst LN
St Augustine, FL 32084-0090
Phone (386) 478-9186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319003689 FL Practitioner - Mental Health Counselor 8426570458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23212FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Counseling Services LLC Mental Health CurrentSince Feb 8, 2025 Accepting new patients

Locations

728 Fentress Blvd
Unit E
Daytona Beach, FL 32114
Phone (321) 239-4124

103 N Orange St
Unit E
New Smyrna Beach, FL 32168
Phone (386) 222-1150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1023871191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 ELMHURST LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320840090",
            "telephone_number": "386-478-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N ORANGE ST UNIT E",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687027",
            "telephone_number": "386-222-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "BLAYNE",
        "middle_name": "SIENNA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.