Active NPI
Hailey E Cruz-Pellan, LCSW
- Mental Health Counselor
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW22543
- Practice address
- 5749 Westgate Dr
Orlando, FL 32835-5040 - Phone
- (407) 494-7132
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW22543 | FL | Primary |
| Clinical Social Worker | 1041C0700X | SW22543 | FL |
Addresses
Primary practice location
5749 Westgate Dr
Orlando, FL 32835-5040
Mailing address
3703 Alafaya Heights Rd Unit 305
Orlando, FL 32828-7537
Phone (561) 596-2359
Other practice location 1
725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | haileycruzpellan@outlook.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW22543 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Wellbeing LLC | Clinical | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1497427538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 ALAFAYA HEIGHTS RD UNIT 305",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287537",
"telephone_number": "561-596-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5749 WESTGATE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355040",
"telephone_number": "407-494-7132"
}
],
"practiceLocations": [
{
"address_1": "725 N 12th Ave Bldg B",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "FL",
"postal_code": "342668752",
"country_code": "US",
"telephone_number": "863-494-1242",
"fax_number": "863-993-0108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ-PELLAN",
"first_name": "HAILEY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW22543",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW22543",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "haileycruzpellan@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3703 Alafaya Heights Rd Unit 305",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328287537",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Feb 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.