Organization Active NPI

K.C Care for the Mind LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Springs, FL
National Provider Identifier
1366247116
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Raissa Murielle Dywou KouedeNPI 1184438459
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260106001460 FL Part B Supplier - Clinic/Group Practice 6800382268 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Springs, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.