Individual provider Active NPI

Lesley Hulett-Johnson, PSY.D.

  • Clinical Psychologist
  • Winter Springs, FL
National Provider Identifier
1407899008
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 6910 Issued in FL
Practice address
1806 Town Plaza CT
Winter Springs, FL 32708-6206
Phone
(407) 234-0670
Fax
(407) 695-3674
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 6910 FL Primary

Addresses

Primary practice location

1806 Town Plaza CT
Winter Springs, FL 32708-6206

Mailing address

1806 Town Plaza CT
Winter Springs, FL 32708-6206
Phone (407) 234-0670

Other identifiers 2

IdentifierTypeStateIssuer
7678851MedicaidFL
74399AOtherFLBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090605000375 FL Practitioner - Clinical Psychologist 2163484460 Reassigns benefits to 6 organizations
Practice locations: Winter Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Center for the Homeless IncGroup PAC ID 6103895107, 51 clinicians
Ace Behavioral Health LLCGroup PAC ID 2668984675, 38 clinicians

Practice addresses (Care Compare)

1806 Town Plaza CT
Winter Springs, FL 32708-6206
Phone (407) 234-0670

232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone 4074285751329

5406 Hoover Blvd
Suite 18
Tampa, FL 33634-5330
Phone (866) 770-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 6910FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus County Rural Health Inc CurrentSince Sep 1, 2025 Accepting new patients
Ace Behavioral Health LLC CurrentSince May 1, 2025 Accepting new patients
Behavioral Health Minute Clinic LLC PastSince Sep 9, 2019 Accepting new patients

Locations

927 N Citrus Ave
Crystal River, FL 34428
Phone (352) 404-5588

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1407899008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 TOWN PLAZA CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086206",
            "telephone_number": "407-234-0670",
            "fax_number": "407-695-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 TOWN PLAZA CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086206",
            "telephone_number": "407-234-0670",
            "fax_number": "407-695-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT-JOHNSON",
        "first_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 6910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7678851",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74399A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.