Individual provider Active NPI

Lena Ansara Wieland, LMFT

  • Marriage & Family Therapist
  • Lake Mary, FL
National Provider Identifier
1306720024
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3620 Issued in FL
Practice address
752 Stirling Center PL Ste 1008
Lake Mary, FL 32746-4889
Phone
(407) 430-7823
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3620 FL Primary

Addresses

Primary practice location

752 Stirling Center PL Ste 1008
Lake Mary, FL 32746-4889

Mailing address

752 Stirling Center PL Ste 1008
Lake Mary, FL 32746-4889
Phone (407) 430-7823

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
I20250930004404 FL Practitioner - Marriage and Family Therapist 7315443264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth Davalos Counseling Center LLCGroup PAC ID 3375978414, 32 clinicians

Practice addresses (Care Compare)

540 E Horatio Ave
Suite 200
Maitland, FL 32751-7314
Phone (407) 401-9020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Endocrinology, Diabetes and Metabolism, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Carlos E Coelho M D P a CurrentSince Sep 23, 2025 Accepting new patients

Locations

752 Stirling Center Pl
Ste 1008
Lake Mary, FL 32746
Phone (407) 333-1212

752 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 333-1212

21097 NE 27th Ct
Ste 510
Miami, FL 33180
Phone (305) 932-6068

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEBDA

Organizations & group practices 3

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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1306720024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 STIRLING CENTER PL STE 1008",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464889",
            "telephone_number": "407-430-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 STIRLING CENTER PL STE 1008",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464889",
            "telephone_number": "407-430-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "LENA",
        "middle_name": "ANSARA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.