Kaiza C Canales, MRS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21375 Issued in FL

Practice address

17410 Sr 50 Ste 130
Clermont, FL 34711-8188

Phone

(407) 717-1305

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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, TX2 enrollments

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 2

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment NPD
• Michelle Asencio LMHC-Therapy LLC

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1669046033
  Medicare reassignment NPD
• Occupational Medical Services Inc

  • Specialist
  • Bayamon, PR
  • NPI 1437397742

  Single Specialty

  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1457469280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KEATON SPRINGS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111882",
            "telephone_number": "787-406-7509",
            "fax_number": "787-406-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17410 SR 50 STE 130",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118188",
            "telephone_number": "407-717-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "KAIZA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-12-20",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2049",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Calvani Colon
• Byron Campbell, LAT, PT
• Jenna Campbell
• Richard Campbell, APRN
• Lawrence J Campo, M.D.
• Lydia Cancel Cedeno
• Anabelle Elizabeth Canova
• Abigail Faith Canton, OTR
• Hans Cao, MD
• Natalie Nicole Caplinger, DO

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, 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 Dec 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.