Individual provider Active NPI

Mariah Korinna Depass, RMHCI

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1114883113
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH28779 Issued in FL
Practice address
615 Midflorida Dr Ste 1
Lakeland, FL 33813-4921
Phone
(407) 718-0987
NPI assigned
Jan 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IMH28779 FL Primary

Addresses

Primary practice location

615 Midflorida Dr Ste 1
Lakeland, FL 33813-4921

Mailing address

200 El Camino Dr Apt 406
Winter Haven, FL 33884-1618
Phone (407) 718-0987

Other practice location 1

200 El Camino Dr Apt 406
Winter Haven, FL 33884-1618
Phone (407) 718-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH28779FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1114883113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EL CAMINO DR APT 406",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338841618",
            "telephone_number": "407-718-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MIDFLORIDA DR STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134921",
            "telephone_number": "407-718-0987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 El Camino Dr Apt 406",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338841618",
            "country_code": "US",
            "telephone_number": "407-718-0987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPASS",
        "first_name": "MARIAH",
        "middle_name": "KORINNA",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH28779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.