Mayelly Alexandra Casal, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12062 Issued in FL

Practice address

6700 S Florida Ave Ste 27
Lakeland, FL 33813-3312

Phone

(863) 660-7915

Fax

(186) 627-8161

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Centered in Self Counseling and Coaching Services, LLC

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1780078188
  NPD (past) Authorized official

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1144678830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE STE 27",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133312",
            "telephone_number": "863-660-7915",
            "fax_number": "186-627-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE STE 27",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133312",
            "telephone_number": "863-660-7915",
            "fax_number": "186-627-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAL",
        "first_name": "MAYELLY",
        "middle_name": "ALEXANDRA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Alan Carter, MD
• Venesia Carter
• Heather Earls Cartier, PT, DPT
• Irisel Carvajal Rodriguez
• Cassandra Carver, LMHC
• Aida Grisel Casalis Calvo, NP
• Patricia E Case, DNP APRN CNM
• Ronald W Case, MD
• Melissa Caskey, APRN
• Colin Casper

• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, 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 Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.