Organization Active NPI

Lead,Empowered,Set,Mental Health Services,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
National Provider Identifier
1487368569
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LEAD,EMPOWERED,SET,MENTAL HEALTH SERVICES,LLC
Doing business as
Lead, Empowered, Set, Mental Health Services,LLC
Practice address
6925 Lake Ellenor Dr Ste 120
Orlando, FL 32809-4648
Phone
(407) 552-5444
NPI assigned
Jan 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Diana Abril Medina, LMHCNPI 1982936118
Title
Clinical Director
Phone
(407) 301-1845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6925 Lake Ellenor Dr Ste 120
Orlando, FL 32809-4648

Mailing address

6925 Lake Ellenor Dr Ste 120
Orlando, FL 32809-4648
Phone (407) 552-5444

Other identifiers 1

IdentifierTypeStateIssuer
116781200MedicaidFL

Other names 1

  • LEAD, EMPOWERED, SET, MENTAL HEALTH SERVICES,LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1487368569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 LAKE ELLENOR DR STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094648",
            "telephone_number": "407-552-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 LAKE ELLENOR DR STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094648",
            "telephone_number": "407-552-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD,EMPOWERED,SET,MENTAL HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "ABRIL MEDINA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-301-1845",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116781200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAD, EMPOWERED, SET, MENTAL HEALTH SERVICES,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.