Individual provider Active NPI

Angela Barry, LMHC, MS

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1508369679
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19982 Issued in FL
Practice address
3680 Avalon Park East Blvd, Ste 301
Orlando, FL 32828
Phone
(321) 351-4925
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60746043 WA
Mental Health Counselor 101YM0800X MH19982 FL Primary

Addresses

Primary practice location

3680 Avalon Park East Blvd, Ste 301
Orlando, FL 32828

Mailing address

3680 Avalon Park East Blvd Ste 301
Orlando, FL 32828-9372
Phone (407) 801-7989

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
I20250120000067 FL Practitioner - Mental Health Counselor 7315476470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60746043WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Pleener, MD, P.a. CurrentSince Dec 2, 2024 Accepting new patients
Fiveshine Corporation Past Accepting new patients

Locations

9100 Conroy Windermere Rd
Ste 200
Windermere, FL 34786
Phone (407) 395-2042

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1508369679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 AVALON PARK EAST BLVD STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289372",
            "telephone_number": "407-801-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 AVALON PARK EAST BLVD, STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32828",
            "telephone_number": "321-351-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "ANGELA",
        "credential": "LMHC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60746043",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.