Individual provider Active NPI

Alicia Poliard, PHD, LMFT, CFLE

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1164618385
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3373 Issued in FL
Practice address
1600 E Robinson St Ste 250
Orlando, FL 32803-5955
Phone
(407) 423-3327
NPI assigned
Sep 20, 2007
Reactivated
Nov 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001262 NY
Marriage & Family Therapist 106H00000X MT3373 FL Primary

Addresses

Primary practice location

1600 E Robinson St Ste 250
Orlando, FL 32803-5955

Mailing address

11954 Narcoossee Road
Suite 2 278
Orlando, FL 32832
Phone (407) 487-9167

Other practice location 1

11954 Narcoossee Road
Suite 2 278
Orlando, FL 32832
Phone (407) 487-9167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221001074 FL Practitioner - Marriage and Family Therapist 6507200243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Everyones Counseling Center, Inc.Group PAC ID 4486963766, 19 clinicians

Practice addresses (Care Compare)

1600 E Robinson St
Suite 250
Orlando, FL 32803-5955
Phone (407) 423-3327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT3373FLMDMarriage & Family Therapist
001262NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everyone'S Counseling Center, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Oasis Counseling Services Current Accepting new patients

Locations

1600 E Robinson St
Ste 250
Orlando, FL 32803
Phone (407) 423-3327

11954 Narcoossee Rd
Ste 2
Orlando, FL 32832
Phone (407) 335-3549

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.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1164618385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 NARCOOSSEE ROAD",
            "address_2": "SUITE 2 278",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-487-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROBINSON ST STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035955",
            "telephone_number": "407-423-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11954 Narcoossee Road",
            "address_2": "Suite 2 278",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32832",
            "country_code": "US",
            "telephone_number": "407-487-9167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIARD",
        "first_name": "ALICIA",
        "credential": "PHD, LMFT, CFLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "deactivation_date": "2012-01-26",
        "reactivation_date": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001262",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.