Organization Active NPI

Psychoeducare, LLC

  • Mental Health Counselor
  • Haines City, FL
National Provider Identifier
1104797208
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PSYCHOEDUCARE, LLC
Practice address
1583 Gardiner St
Haines City, FL 33844-9474
Phone
(352) 615-4502
NPI assigned
Sep 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Authorized official

Name
Anamary Cruz, MSW, CCT, CTP, CGPNPI 1043884968
Title
Founder and President
Phone
(352) 615-4502

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1583 Gardiner St
Haines City, FL 33844-9474

Mailing address

PO Box 388
Davenport, FL 33836-0388
Phone (352) 615-4502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1757721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1104797208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360388",
            "telephone_number": "352-615-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 GARDINER ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338449474",
            "telephone_number": "352-615-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOEDUCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ANAMARY",
        "authorized_official_title_or_position": "FOUNDER AND PRESIDENT",
        "authorized_official_telephone_number": "352-615-4502",
        "authorized_official_credential": "MSW, CCT, CTP, CGP"
    },
    "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 Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.