Individual provider Active NPI

Lyanne Soto-Ramos, LCSW

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1184336471
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2911 Park Pond Way
Kissimmee, FL 34741-7661
Phone
(813) 444-7116
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 Primary

Addresses

Primary practice location

2911 Park Pond Way
Kissimmee, FL 34741-7661

Mailing address

708 Lithia Pinecrest Rd Ste 102
Brandon, FL 33511-6189
Phone (813) 444-7116

Other practice location 1

11912 Balm Riverview Rd
Riverview, FL 33569-6601
Phone (813) 444-7116

Other practice location 2

1074 S Florida Ave Ste 103
Lakeland, FL 33803-1102
Phone (813) 444-7116

Other practice location 3

29160 Chapel Park Dr
Wesley Chapel, FL 33543-4404
Phone (813) 444-7116

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL renewedic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 22, 2024 through May 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Integrative Counseling Mental Health CurrentSince Dec 1, 2022 Accepting new patients

Locations

2911 Park Pond Way
Kissimmee, FL 34741
Phone (813) 444-7116

1074 S Florida Ave
Ste 103
Lakeland, FL 33803
Phone (813) 444-7116

11912 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 444-7116

29160 Chapel Park Dr
Wesley Chapel, FL 33543
Phone (813) 444-7116

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1184336471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 LITHIA PINECREST RD STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116189",
            "telephone_number": "813-444-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 PARK POND WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417661",
            "telephone_number": "813-444-7116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11912 Balm Riverview Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335696601",
            "country_code": "US",
            "telephone_number": "813-444-7116",
            "fax_number": "813-537-8580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1074 S Florida Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338031102",
            "country_code": "US",
            "telephone_number": "813-444-7116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29160 Chapel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335434404",
            "country_code": "US",
            "telephone_number": "813-444-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO-RAMOS",
        "first_name": "LYANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "renewedic.com",
            "affiliation": "N",
            "address_1": "11912 Balm Riverview Rd",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335696601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.