Cynthia Crouch, LMHC
Individual provider Active NPI Mental Health Counselor · Umatilla, FL
NPI 1558025403 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1558025403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH18812 (FL)
- Practice address
- 40897 W 5TH Ave
Umatilla, FL 32784-9386 - Phone
- (407) 963-0152
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250606001260 | FL | Practitioner - Mental Health Counselor | 4688066103 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH18812 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reimagine Freedom Counseling and Consulting LLC | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH18812 | FL | Yes |
Addresses
Primary practice location
40897 W 5TH Ave
Umatilla, FL 32784-9386
Mailing address
930 Mendoza Dr
Orlando, FL 32825-7947
Phone (407) 963-0152
Other providers in Umatilla, FL
- Morgan Byrd
- Gustavo A Castillo
- Vickie Sue Chapman
- Clark Transport LLC
- Cornerstone Family Health Care, Inc
- Christina Davis
- Gail J Dudley
- Barbara Brown Endsley
- Margaret Englund
- Enhancing Lives Inc.
All providers in Umatilla, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.