Active NPI
K.C Care for the Mind LLC
- Psychiatric/Mental Health Nurse Practitioner
- Winter Springs, FL
National Provider Identifier
1366247116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- K.C CARE FOR THE MIND LLC
- Practice address
- 118 W State Road 434
Winter Springs, FL 32708-2551 - Phone
- (407) 890-9888
- Fax
- (877) 405-6396
- NPI assigned
- Feb 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raissa Murielle Dywou Kouede
- Title
- Owner
- Phone
- (407) 955-5503
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
118 W State Road 434
Winter Springs, FL 32708-2551
Mailing address
4478 Oak Arbor Cir
Orlando, FL 32808-5966
Phone (424) 414-3560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
118 W State Road 434
Winter Springs, FL 32708
Phone (407) 890-9888
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
- NPI 1184438459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1366247116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4478 OAK ARBOR CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328085966",
"telephone_number": "424-414-3560",
"fax_number": "407-602-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 W STATE ROAD 434",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327082551",
"telephone_number": "407-890-9888",
"fax_number": "877-405-6396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K.C CARE FOR THE MIND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-17",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "DYWOU KOUEDE",
"authorized_official_first_name": "RAISSA",
"authorized_official_middle_name": "MURIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-955-5503"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.