Active NPI
Mirella Caro-Cortes
- Mental Health Counselor
- Oviedo, FL
National Provider Identifier
1356880843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH14940
- Practice address
- 1950 W State Road 426
Oviedo, FL 32765-9145 - Phone
- (407) 803-4717
- Fax
- (407) 347-2293
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH14940 | FL | Primary |
Addresses
Primary practice location
1950 W State Road 426
Oviedo, FL 32765-9145
Mailing address
1035 Lake Rogers Cir
Oviedo, FL 32765-7225
Phone (407) 810-4471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120188000 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH14940 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Image and Likeness Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
407 Lake Howell Rd
Ste 1029
Maitland, FL 32751
1950 W State Road 426
Ste 1003
Oviedo, FL 32765
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Oviedo, FL
- NPI 1700428612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1356880843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 LAKE ROGERS CIR",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327657225",
"telephone_number": "407-810-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 W STATE ROAD 426",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659145",
"telephone_number": "407-803-4717",
"fax_number": "407-347-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARO-CORTES",
"first_name": "MIRELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH14940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120188000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.