Circle of Connections, LLC
Organization Active NPI Mental Health Counselor · Edgewater, FL
NPI 1689476160 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1689476160
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- CIRCLE OF CONNECTIONS, LLC
- Practice address
- 2111 S Ridgewood Ave Unit 11
Edgewater, FL 32141-4246 - Phone
- (314) 913-6646
- NPI assigned
- Mar 26, 2025
- Organization subpart
- No
Authorized official
- Name
- Katy Redel, LMHC
- Title
- LMHC/Owner
- Phone
- (314) 913-6646
Practitioners 1
-
Katy Ann Redel, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251029000285 | FL | Part B Supplier - Clinic/Group Practice | 9133618366 |
Receives reassigned benefits from 1 practitioner Practice locations: Edgewater, FL |
National Provider Directory
Locations
2111 S Ridgewood Ave
Unit 11
Edgewater, FL 32141
Phone (314) 913-6646
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
2111 S Ridgewood Ave Unit 11
Edgewater, FL 32141-4246
Mailing address
2111 S Ridgewood Ave Unit 11
Edgewater, FL 32141-4246
Phone (386) 409-1332
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All providers in Edgewater, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.