Organization Active NPI

Polaris Behavioral & Consulting, LLC.

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1568366193
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POLARIS BEHAVIORAL & CONSULTING, LLC.
Practice address
2990 Park Pond Way
Kissimmee, FL 34741-7660
Phone
(407) 353-6595
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Wilson Giovanni Villanueva, LMHC
Title
Owner
Phone
(407) 353-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2990 Park Pond Way
Kissimmee, FL 34741-7660

Mailing address

2990 Park Pond Way
Kissimmee, FL 34741-7660
Phone (407) 353-6595

National Provider Directory

National Provider Directory
Tax ID family
Polaris Behavioral Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1568366193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 PARK POND WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417660",
            "telephone_number": "407-353-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 PARK POND WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417660",
            "telephone_number": "407-353-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS BEHAVIORAL & CONSULTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "GIOVANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-353-6595",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.