Individual provider Active NPI

Natalia Lexis Cimo, MHC

  • Mental Health Counselor
  • Daytona Beach, FL
National Provider Identifier
1538899653
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24590 Issued in FL
Practice address
412 S Palmetto Ave
Daytona Beach, FL 32114-4922
Phone
(386) 287-1977
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH24590 FL Primary

Addresses

Primary practice location

412 S Palmetto Ave
Daytona Beach, FL 32114-4922

Mailing address

411 W 1St St # 1001
Sanford, FL 32771-1207
Phone (386) 287-1977

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
I20260311002307 FL Practitioner - Mental Health Counselor 0143703884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

314 Furlong Trce
Versailles, KY 40383-2067

3800 W Broward Blvd
Suite 100
Ft Lauderdale, FL 33312-1018

535 Mack Ave
Kingsley, MI 49649-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH24590FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Center, LLC Multi-Specialty CurrentSince Feb 10, 2026 Accepting new patients

Locations

412 S Palmetto Ave
Daytona Beach, FL 32114
Phone (386) 256-1333

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1538899653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 1ST ST # 1001",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711207",
            "telephone_number": "386-287-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S PALMETTO AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144922",
            "telephone_number": "386-287-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMO",
        "first_name": "NATALIA",
        "middle_name": "LEXIS",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.