Individual provider Active NPI

Andrea Gorney, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1679954416
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2900 Monticello PL Apt 105
Orlando, FL 32835-2907
Phone
(321) 258-3401
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

2900 Monticello PL Apt 105
Orlando, FL 32835-2907

Mailing address

1537 River Reach Dr
Apt. 180
Orlando, FL 32828-5830
Phone (321) 258-3401

Other identifiers 1

IdentifierTypeStateIssuer
1679954416MedicaidFL

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
I20250219003687 FL Practitioner - Mental Health Counselor 5092235119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allies in Wellness, LLC Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Allies in Wellness, LLC Mental Health PastSince Aug 28, 2022 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

1825 Riverview Dr
Melbourne, FL 32901
Phone (321) 258-9537

391 Commerce Pkwy
Ste 220
Rockledge, FL 32955
Phone (321) 258-9537

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allies in Wellness, LLC 4 clinicians

Practice addresses (Care Compare)

1825 Riverview Dr
Melbourne, FL 32901-4711
Phone (321) 258-9537

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1679954416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 RIVER REACH DR",
            "address_2": "APT. 180",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285830",
            "telephone_number": "321-258-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MONTICELLO PL APT 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352907",
            "telephone_number": "321-258-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNEY",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679954416",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.