Active NPI
Lead,Empowered,Set,Mental Health Services,LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
National Provider Identifier
1487368569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Abril Medina, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116781200 | Medicaid | FL |
Other names 1
- LEAD, EMPOWERED, SET, MENTAL HEALTH SERVICES,LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Counselor
- Orlando, FL
- NPI 1982936118
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.