Active NPI
Damaris Reveron
- Mental Health Counselor
- Clermont, FL
National Provider Identifier
1144046616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH26449
- Practice address
- 221 N Highway 27 Unit F
Clermont, FL 34711-2431 - Phone
- (407) 451-3863
- NPI assigned
- Nov 29, 2024
- Last updated
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 | IMH26449 | FL | Primary |
Addresses
Primary practice location
221 N Highway 27 Unit F
Clermont, FL 34711-2431
Mailing address
221 N Highway 27 Unit F
Clermont, FL 34711-2431
Phone (407) 451-3863
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH26449 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counselme, LLC | Mental Health | Current | Accepting new patients |
Locations
221 N Highway 27
Unit F
Clermont, FL 34711
Phone (352) 243-5901
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1144046616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 N HIGHWAY 27 UNIT F",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112431",
"telephone_number": "407-451-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 N HIGHWAY 27 UNIT F",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112431",
"telephone_number": "407-451-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVERON",
"first_name": "DAMARIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-29",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH26449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.