Active NPI
Amelia Madelyn Wilkes, LMHC, CAP
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1639315781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10530
- Practice address
- 708 E. Colonial Dr.
Suite 201
Orlando, FL 32803 - Phone
- (407) 212-7518
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP0005497 | FL | |
| Mental Health Counselor | 101YM0800X | MH10530 | FL | Primary |
Addresses
Primary practice location
708 E. Colonial Dr.
Suite 201
Orlando, FL 32803
Mailing address
7901 4TH St. N
Suite 300
St. Petersburg, FL 33702
Phone (509) 768-2249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAP0005497 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH10530 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impower, Inc | Multi-Specialty | Past | Accepting new patients |
| Intervention Services Inc. | Multi-Specialty | Past | Accepting new patients |
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": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1639315781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST. N",
"address_2": "SUITE 300",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33702",
"telephone_number": "509-768-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E. COLONIAL DR.",
"address_2": "SUITE 201",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803",
"telephone_number": "407-212-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "AMELIA",
"middle_name": "MADELYN",
"name_prefix": "Mrs.",
"credential": "LMHC, CAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CAP0005497",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.