Active NPI
Melixa Carbonell, LMHC
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1043825334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16186
- Practice address
- 955 N Orlando Ave
Maitland, FL 32751-4428 - Phone
- (321) 287-6919
- NPI assigned
- Sep 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16186 | FL | Primary |
Addresses
Primary practice location
955 N Orlando Ave
Maitland, FL 32751-4428
Mailing address
955 N Orlando Ave Apt 247
Maitland, FL 32751-4585
Phone (321) 287-6919
Other practice location 1
955 N Orlando Ave Apt 247
Maitland, FL 32751-4585
Phone (321) 287-6919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16186 | FL | MD | Mental Health Counselor |
Networks
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
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": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1043825334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 N ORLANDO AVE APT 247",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514585",
"telephone_number": "321-287-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 N ORLANDO AVE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514428",
"telephone_number": "321-287-6919"
}
],
"practiceLocations": [
{
"address_1": "955 N Orlando Ave Apt 247",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327514585",
"country_code": "US",
"telephone_number": "321-287-6919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARBONELL",
"first_name": "MELIXA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-13",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.