Individual provider Active NPI

Kirsten Elizabeth Guiliano, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1255120309
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25152 Issued in FL
Practice address
1101 N Lake Destiny Rd Ste 300
Maitland, FL 32751-7121
Phone
(309) 360-3483
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 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 MH25152 FL Primary

Addresses

Primary practice location

1101 N Lake Destiny Rd Ste 300
Maitland, FL 32751-7121

Mailing address

776 Tupelo Dr
Melbourne, FL 32935-5059
Phone (309) 360-3483

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
I20250721003590 FL Practitioner - Mental Health Counselor 4789190380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25152FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Heritage Medical Group Inc CurrentSince May 15, 2025 Accepting new patients
Precise Behavioral, Inc. PastSince Apr 27, 2025 Accepting new patients

Locations

2393 Townsgate Rd
Ste 104
Westlake Village, CA 91361
Phone (805) 601-5199

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

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": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1255120309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 TUPELO DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355059",
            "telephone_number": "309-360-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N LAKE DESTINY RD STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517121",
            "telephone_number": "309-360-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILIANO",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.