Active NPI
Lisa Y Lello, LMHC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1154553667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11496
- Practice address
- 3455 Astoria CT
Winter Park, FL 32792-2005 - Phone
- (073) 104-4485
- Fax
- (717) 427-4153
- NPI assigned
- Aug 17, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH11496 | FL | |
| Professional Counselor | 101YP2500X | MH11496 | FL | |
| Mental Health Counselor | 101YM0800X | MH11496 | FL | Primary |
Addresses
Primary practice location
3455 Astoria CT
Winter Park, FL 32792-2005
Mailing address
3455 Astoria CT
Winter Park, FL 32792-2005
Phone (407) 310-4485
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 |
|---|---|---|---|
| MH11496 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Behavioral Health LLC. | Current | Accepting new patients | |
| Collective Mental Health | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winter Park, FL
- NPI 1225606916
-
- Community/Behavioral Health Agency
- Winter Park, FL
- NPI 1235754292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1154553667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 ASTORIA CT",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922005",
"telephone_number": "407-310-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 ASTORIA CT",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922005",
"telephone_number": "073-104-4485",
"fax_number": "717-427-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELLO",
"first_name": "LISA",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH11496",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH11496",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.