Liana Noelle Menendez, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW15976 Issued in FL

Practice address

4770 S Ridgewood Ave
Port Orange, FL 32127-4544

Phone

(386) 259-8071

Fax

(386) 204-8712

NPI assigned

Feb 1, 2019

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Insightful Therapeutic Solutions LLC

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1558970491
  Medicare reassignment NPD Authorized official
• Patricia Adams Counseling, LLC

  dba Lakeside Counseling and Wellness Center

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1578951596
  Medicare reassignment NPD

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1093270290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274544",
            "telephone_number": "386-259-8071",
            "fax_number": "386-204-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274544",
            "telephone_number": "386-259-8071",
            "fax_number": "386-204-8712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2447 S Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "South Daytona",
            "state": "FL",
            "postal_code": "321193077",
            "country_code": "US",
            "telephone_number": "386-259-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Swallow Tail Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321296103",
            "country_code": "US",
            "telephone_number": "386-333-9717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "LIANA",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW15976",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR",
            "identifier": "84321670",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSIGHTFUL THERAPEUTIC SOLUTIONS LLC",
            "identifier": "851734612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Franklin, D.C., LLC
• Haroldo De Carvalho Melo, MD
• Maranda Melson
• Memorial Health Systems Inc (AdventHealth Port Orange ER)
• Craig Scott Mencl, D.C.
• Danielle Nicole Menneto, D.C.
• Kirstin Menzies
• Heidi Meramo
• Brittany Merchant, RMHCI
• Ashleigh Mertle

• Mental Health Counselor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.

Verify at the official NPI Registry.