Individual provider Active NPI

Lori Johnson, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1659717809
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21059 Issued in FL
Practice address
3505 Lake Lynda Dr Ste 200
Orlando, FL 32817-8333
Phone
(855) 501-1004
NPI assigned
May 15, 2013
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21059 FL Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

3505 Lake Lynda Dr Ste 200
Orlando, FL 32817-8333

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

4450 W Eau Gallie Blvd Ste 200
Melbourne, FL 32934-7214
Phone (321) 726-2860

Other practice location 2

6700 S Washington Ave
Titusville, FL 32780-8050
Phone (321) 269-4590

Other practice location 3

1770 Cedar St
Rockledge, FL 32955-3133
Phone (321) 890-1500

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
I20240308002764 FL Practitioner - Mental Health Counselor 1254777568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindpath Health Florida, PLLCGroup PAC ID 7517858285, 52 clinicians

Practice addresses (Care Compare)

1540 Citrus Medical CT
Ocoee, FL 34761-4547
Phone (407) 602-7168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21059FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Circles of Care, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Mindpath Health Florida, PLLC Mental Health CurrentSince Jul 25, 2025 Accepting new patients
Circles of Care, Inc. Mental Health CurrentSince Feb 14, 2024 Accepting new patients
Circles of Care, Inc. Mental Health PastSince Mar 6, 2022 Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273

4450 W Eau Gallie Blvd
Ste 200
Melbourne, FL 32934
Phone (321) 726-2860

1540 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 245-8501

1572 Citrus Medical Ct
Ocoee, FL 34761

3505 Lake Lynda Dr
Ste 200
Orlando, FL 32817
Phone (407) 567-1900

1770 Cedar St
Rockledge, FL 32955
Phone (321) 634-6257

6700 S Washington Ave
Titusville, FL 32780
Phone (321) 269-4590

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1659717809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178333",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 W Eau Gallie Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329347214",
            "country_code": "US",
            "telephone_number": "321-726-2860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327808050",
            "country_code": "US",
            "telephone_number": "321-269-4590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553133",
            "country_code": "US",
            "telephone_number": "321-890-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LORI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21059",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.