Individual provider Active NPI

Cerenity Carmichael, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1457918393
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5087 Edgewater Drive
#607978
Orlando, FL 32860-7978
Phone
(321) 655-9044
NPI assigned
May 27, 2019
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 NU Primary

Addresses

Primary practice location

5087 Edgewater Drive
#607978
Orlando, FL 32860-7978

Mailing address

PO Box 607978
Orlando, FL 32860-7978
Phone (407) 553-2266

Other practice location 1

2813 S Hiawassee Rd Ste 301
Orlando, FL 32835-6690
Phone (321) 209-8219 ext. 3

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
I20240711000115 FL Practitioner - Mental Health Counselor 2163811159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince May 31, 2024 Accepting new patients
Victorious Living Counseling and Consulting LLC PastSince Oct 30, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1457918393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607978",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328607978",
            "telephone_number": "407-553-2266",
            "fax_number": "407-216-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5087 EDGEWATER DRIVE",
            "address_2": "#607978",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328607978",
            "telephone_number": "321-655-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 S Hiawassee Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328356690",
            "country_code": "US",
            "telephone_number": "321-209-8219 x3",
            "fax_number": "321-445-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "CERENITY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.