Kathleen Acevedo, LMHC, MED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20554 Issued in FL

Practice address

3680 Avalon Park East Blvd Ste 301
Orlando, FL 32828-9372

Phone

(321) 351-4925

NPI assigned

Mar 30, 2017

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fiveshine CorporationGroup PAC ID 2961923198, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fiveshine Corporation

  dba Ellie Mental Health

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1356184121
  Medicare reassignment Care Compare group NPD
• Blossoming Peace Counseling LLC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1295461697
  NPD Authorized official

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1407388499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 PARK CENTER DR STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356216",
            "telephone_number": "321-328-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 AVALON PARK EAST BLVD STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289372",
            "telephone_number": "321-351-4925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5728 Major Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197973",
            "country_code": "US",
            "telephone_number": "407-594-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7041 Grand National Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198380",
            "country_code": "US",
            "telephone_number": "321-328-0838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1803 Park Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328356216",
            "country_code": "US",
            "telephone_number": "321-328-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "KATHLEEN",
        "credential": "LMHC, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH18200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Acevedo
• Aida Acevedo
• Gilfredy Acevedo, M.D.
• Javier Acevedo, M.D.
• Johanny Acevedo, LMT
• Kishamar Acevedo, DC
• Marcus Jaxon Acevedo, DC
• Meagan Acevedo, MD
• Rachel Acevedo
• Sixto R Acevedo

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, 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 Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.