Insightful Therapeutic Solutions LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INSIGHTFUL THERAPEUTIC SOLUTIONS LLC

Practice address

4770 S Ridgewood Ave
Port Orange, FL 32127-4544

Phone

(386) 259-8071

Fax

(386) 204-8712

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Liana Noelle Menendez, LCSW, RPTNPI 1093270290

Title

Owner/Operator

Phone

(386) 259-8071

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liana Noelle Menendez, LCSW

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1093270290
  Medicare reassignment NPD Authorized official
• Marilyn B Deluera, LCSW

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1386984680
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1558970491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274544",
            "telephone_number": "386-259-8071",
            "fax_number": "386-204-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274544",
            "telephone_number": "386-259-8071",
            "fax_number": "386-204-8712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2447 S Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "South Daytona",
            "state": "FL",
            "postal_code": "321193077",
            "country_code": "US",
            "telephone_number": "386-259-8071",
            "fax_number": "386-204-8712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHTFUL THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "386-259-8071",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1093270290",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.