Individual provider Active NPI

Alyssa Negron, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1205559648
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21093 Issued in FL
Practice address
531 Versailles Dr Ste 100
Maitland, FL 32751-4591
Phone
(407) 900-9632
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 MH21093 FL Primary

Addresses

Primary practice location

531 Versailles Dr Ste 100
Maitland, FL 32751-4591

Mailing address

90 Chaney Dr
Casselberry, FL 32707-4533
Phone (407) 900-9632

Other practice location 1

90 Chaney Dr
Casselberry, FL 32707-4533
Phone (407) 900-9632

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
I20251022004722 FL Practitioner - Mental Health Counselor 7214425131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality BHS Florida LLCGroup PAC ID 4082030721, 26 clinicians

Practice addresses (Care Compare)

100 S Ashley Dr
Suite 600
Tampa, FL 33602-5300
Phone (305) 250-2435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21093FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality BHS Florida, LLC CurrentSince Sep 11, 2025 Accepting new patients
Telos Health Systems FL LLC Mental Health CurrentSince Nov 3, 2025 Accepting new patients

Locations

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

615 Crescent Executive Ct
Ste 100
Lake Mary, FL 32746
Phone (201) 217-6777

500 Winderley Pl
Ste 112
Maitland, FL 32751

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

980 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 217-6777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1205559648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CHANEY DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074533",
            "telephone_number": "407-900-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 VERSAILLES DR STE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514591",
            "telephone_number": "407-900-9632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Chaney Dr",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327074533",
            "country_code": "US",
            "telephone_number": "407-900-9632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "ALYSSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.