Organization Active NPI

Bannel Associates LLC

Doing business as Bannel Total Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kissimmee, FL
National Provider Identifier
1215623665
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BANNEL ASSOCIATES LLC
Doing business as
Bannel Total Wellness
Practice address
501 E Oak St Ste F
Kissimmee, FL 34744-4554
Phone
(407) 955-6719
NPI assigned
Apr 17, 2023
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Nelson Gonzalez Rodriguez
Title
President
Phone
(407) 350-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

501 E Oak St Ste F
Kissimmee, FL 34744-4554

Mailing address

501 E Oak St Ste F
Kissimmee, FL 34744-4554
Phone (407) 955-6719

Other names 1

  • Bannel Total Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219001209 FL Part B Supplier - Clinic/Group Practice 6901240936 Receives reassigned benefits from 8 practitioners
Practice locations: Kissimmee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2311462Bannel Associates LLC501 E Oak St Ste F, Kissimmee, FL 34744Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1215623665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E OAK ST STE F",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444554",
            "telephone_number": "407-955-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E OAK ST STE F",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444554",
            "telephone_number": "407-955-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNEL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ RODRIGUEZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-350-2120"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bannel Total Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.