Individual provider Active NPI

Vivienne Cotton, MS LMHC CAP CERT.CBT

  • Mental Health Counselor
  • Intercession City, FL
National Provider Identifier
1053754960
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11630 Issued in FL
Practice address
5970 South Orange Blossom Trail
Intercession City, FL 33848
Phone
(407) 846-5294
Fax
(407) 846-5298
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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 MH11630 FL Primary

Addresses

Primary practice location

5970 South Orange Blossom Trail
Intercession City, FL 33848

Mailing address

1064 Soaring Eagle LN
Kissimmee, FL 34746-6701
Phone (407) 625-2524

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
I20240815001251 FL Practitioner - Mental Health Counselor 5193263606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Next Step Counseling Center, LLCGroup PAC ID 9537502141, 3 clinicians

Practice addresses (Care Compare)

2029 Hickory Tree Rd
Saint Cloud, FL 34772-8906
Phone (321) 805-4850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH11630FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Next Step Counseling Center, LLC Mental Health CurrentSince Jul 30, 2024 Accepting new patients
Palm Tree Interventional Pain Management, PLLC PastSince Jul 30, 2024 Accepting new patients

Locations

2029 Hickory Tree Rd
Saint Cloud, FL 34772
Phone (321) 805-4850

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1053754960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 SOARING EAGLE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466701",
            "telephone_number": "407-625-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 SOUTH ORANGE BLOSSOM TRAIL",
            "city": "INTERCESSION CITY",
            "state": "FL",
            "postal_code": "33848",
            "telephone_number": "407-846-5294",
            "fax_number": "407-846-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "VIVIENNE",
        "name_prefix": "Mrs.",
        "credential": "MS LMHC CAP CERT.CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Intercession City, FL

Sources for this page

Verify at the official NPI Registry.