Individual provider Active NPI

Nacoal Friend

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1164308581
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMT4215 Issued in FL
Practice address
725 Primera Blvd Ste 145
Lake Mary, FL 32746-2130
Phone
(407) 279-0922
NPI assigned
Aug 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMT4215 FL Primary

Addresses

Primary practice location

725 Primera Blvd Ste 145
Lake Mary, FL 32746-2130

Mailing address

642 Woodridge Dr
Fern Park, FL 32730-2938
Phone (806) 433-6429

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
IMT4215FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cavallaro Counseling LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

725 Primera Blvd
Ste 145
Lake Mary, FL 32746
Phone (321) 472-3200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1164308581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 WOODRIDGE DR",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302938",
            "telephone_number": "806-433-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD STE 145",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462130",
            "telephone_number": "407-279-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "NACOAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMT4215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.