Individual provider Active NPI

Linda Edmund, LMHC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1669060208
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
109 N Beaumont Ave
Kissimmee, FL 34741-5120
Phone
(407) 906-2103
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

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

Addresses

Primary practice location

109 N Beaumont Ave
Kissimmee, FL 34741-5120

Mailing address

3204 Bayflower Ave
Harmony, FL 34773-6080
Phone (917) 595-0248

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
I20241226003072 FL Practitioner - Mental Health Counselor 7618404971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phase of Life Counseling LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

109 N Beaumont Ave
Kissimmee, FL 34741
Phone (321) 328-0916

Organizations & group practices 1

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1669060208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 BAYFLOWER AVE",
            "city": "HARMONY",
            "state": "FL",
            "postal_code": "347736080",
            "telephone_number": "917-595-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BEAUMONT AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415120",
            "telephone_number": "407-906-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUND",
        "first_name": "LINDA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.