Individual provider Active NPI

Felipe Fonseca, LMHC, MCAP

  • Mental Health Counselor
  • Saint Cloud, FL
National Provider Identifier
1679904791
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14147 Issued in FL
Practice address
4820 Windbourne Way
Saint Cloud, FL 34772-6858
Phone
(845) 826-0727
NPI assigned
Dec 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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 MH14147 FL Primary
Mental Health Counselor 101YM0800X ADC-010740-2015 FL

Addresses

Primary practice location

4820 Windbourne Way
Saint Cloud, FL 34772-6858

Mailing address

4820 Windbourne Way
Saint Cloud, FL 34772-6858
Phone (845) 826-0727

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
I20250610001421 FL Practitioner - Mental Health Counselor 6608386552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ADC-010740-2015FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Awareness Counseling LLC Mental Health CurrentSince May 5, 2025 Accepting new patients
Felipe Fonseca, LLC. Mental Health Current Accepting new patients

Locations

3501 W Vine St
Ste 294
Kissimmee, FL 34741
Phone (407) 247-3088

2260 Glenwood Dr
Winter Park, FL 32792
Phone (407) 920-9717

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": "1385856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1679904791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 WINDBOURNE WAY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726858",
            "telephone_number": "845-826-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 WINDBOURNE WAY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726858",
            "telephone_number": "845-826-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "FELIPE",
        "credential": "LMHC, MCAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-01",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14147",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ADC-010740-2015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.