Individual provider Active NPI

Joan Mervar, IMH24665

  • Mental Health Counselor
  • Tavares, FL
National Provider Identifier
1447014634
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH24665 Issued in FL
Practice address
858 S Duncan Dr Ste 307
Tavares, FL 32778-4044
Phone
(352) 708-6283
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH24665 FL Primary

Addresses

Primary practice location

858 S Duncan Dr Ste 307
Tavares, FL 32778-4044

Mailing address

210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Phone (352) 708-6283

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
I20260529000973 FL Practitioner - Mental Health Counselor 9739659871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Life Counseling CenterGroup PAC ID 0648623835, 13 clinicians

Practice addresses (Care Compare)

210 N Hwy 27
Suite 4
Clermont, FL 34711-2411
Phone (352) 708-6283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH24665FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Counseling Center Mental Health CurrentSince Mar 29, 2026 Accepting new patients

Locations

1965 S Orange Blossom Trl
Apopka, FL 32703
Phone (352) 462-0539

210 N US Highway 27
Ste 4
Clermont, FL 34711
Phone (352) 243-4800

858 S Duncan Dr
Ste 307
Tavares, FL 32778
Phone (352) 708-6283

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1447014634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-708-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 S DUNCAN DR STE 307",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784044",
            "telephone_number": "352-708-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVAR",
        "first_name": "JOAN",
        "credential": "IMH24665",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.