Illyanna Soares, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

26521 Issued in FL

Practice address

6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450

Phone

(407) 594-7511

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Restored Purpose Counseling Services, PLLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1992321640
  NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1386470334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 PARK VILLAGE DR APT 6412",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568030",
            "telephone_number": "703-774-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587450",
            "telephone_number": "407-594-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "ILLYANNA",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "26521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia L Snyder, MD
• Mark A Snyder, PTA
• Robert Warshel Snyder, DO
• Ruth Wester Snyder, M.S.CCC-SLP
• Sarah Catherine Snyder, PA-C
• Celeste S Soberano, M.D.
• Kaila Rene Sobol
• Ashley Elizabeth Sobolewski, ND
• Jose Alberto Socarras, P.A.
• Michael Sochacki, DO

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.