NPIMap

Organization Active NPI

Neumind Wellness Group LLC

  • Community/Behavioral Health Agency
  • Clermont, FL
National Provider Identifier
1396101697
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEUMIND WELLNESS GROUP LLC
Practice address
2113 Ruby Red Blvd Ste D
Clermont, FL 34714-6115
Phone
(352) 394-0573
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Rebeca Carrasquillo
Title
Director of Operations
Phone
(352) 394-0573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2113 Ruby Red Blvd Ste D
Clermont, FL 34714-6115

Mailing address

2113 Ruby Red Blvd Ste D
Clermont, FL 34714-6115
Phone (352) 394-0573

Other practice location 1

2370 North Blvd W Ste C1
Davenport, FL 33837-8984
Phone (863) 421-7700

Other practice location 2

520 13th St
Saint Cloud, FL 34769-4531
Phone (407) 556-3411

Other practice location 3

1176 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (352) 394-0573

Other names 1

  • Summit Counseling Group Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180208001770 FL Part B Supplier - Clinic/Group Practice 3173883386 Receives reassigned benefits from 6 practitioners
Practice locations: Clermont, FL; Saint Cloud, FL; Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

2113 Ruby Red Blvd
Ste D
Clermont, FL 34714
Phone (352) 394-0573

1050 US Highway 27
Ste 9
Clermont, FL 34714
Phone (352) 394-0573

2113 Ruby Red Blvd
Clermont, FL 34714
Phone (352) 394-0573

2370 North Blvd W
Ste C1
Davenport, FL 33837
Phone (863) 421-7700

1176 Cypress Glen Cir
Kissimmee, FL 34741
Phone (352) 394-0573

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1396101697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD STE D",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115",
            "telephone_number": "352-394-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD STE D",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115",
            "telephone_number": "352-394-0573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2370 North Blvd W Ste C1",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378984",
            "country_code": "US",
            "telephone_number": "863-421-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 13th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347694531",
            "country_code": "US",
            "telephone_number": "407-556-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1176 Cypress Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417560",
            "country_code": "US",
            "telephone_number": "352-394-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUMIND WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "352-394-0573"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Counseling Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Summit Counseling Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

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