Individual provider Active NPI

Evelina Pavlova

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1285152595
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1431 Simpson Rd # 1141
Kissimmee, FL 34744-4604
Phone
(407) 603-6488
NPI assigned
Sep 7, 2017
Last updated
Apr 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 Primary

Addresses

Primary practice location

1431 Simpson Rd # 1141
Kissimmee, FL 34744-4604

Mailing address

1431 Simpson Rd # 1141
Kissimmee, FL 34744-4604
Phone (407) 603-6488

Other practice location 1

13538 Village Park Dr Unit 220
Orlando, FL 32837-3603
Phone (689) 302-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1285152595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 SIMPSON RD # 1141",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444604",
            "telephone_number": "407-603-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SIMPSON RD # 1141",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444604",
            "telephone_number": "407-603-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13538 Village Park Dr Unit 220",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328373603",
            "country_code": "US",
            "telephone_number": "689-302-3438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLOVA",
        "first_name": "EVELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.