Active NPI
Kayla Scurich
- Mental Health Counselor
- Clermont, FL
National Provider Identifier
1508480047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH19547
- Practice address
- 1230 Oakley Seaver Dr Ste 307
Clermont, FL 34711-1961 - Phone
- (352) 988-6673
- NPI assigned
- Jun 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH19547 | FL | Primary |
Addresses
Primary practice location
1230 Oakley Seaver Dr Ste 307
Clermont, FL 34711-1961
Mailing address
1230 Oakley Seaver Dr Ste 307
Clermont, FL 34711-1961
Phone (352) 988-6673
Other practice location 1
858 S Duncan Dr
Tavares, FL 32778-4044
Phone (352) 988-6673
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
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH19547 | FL | MD | Mental Health Counselor |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1508480047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 OAKLEY SEAVER DR STE 307",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111961",
"telephone_number": "352-988-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 OAKLEY SEAVER DR STE 307",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111961",
"telephone_number": "352-988-6673"
}
],
"practiceLocations": [
{
"address_1": "858 S Duncan Dr",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "327784044",
"country_code": "US",
"telephone_number": "352-988-6673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCURICH",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH19547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.