Yanel A de Miranda Casanova, M.,A.E., ED.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13712 Issued in FL

Practice address

3238 S Lecanto Hwy
Lecanto, FL 34461-9025

Phone

(352) 628-5020

Fax

(352) 628-2016

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yanel Angely De Miranda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Engineering

State licenses

Practice roles

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.

• Lifestream Behavioral Center Inc

  • Primary Care Clinic/Center
  • Leesburg, FL
  • NPI 1659613776
  NPD (past)

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1700257458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745677",
            "telephone_number": "352-291-5555",
            "fax_number": "352-291-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 S LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619025",
            "telephone_number": "352-628-5020",
            "fax_number": "352-628-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "YANEL",
        "middle_name": "A DE MIRANDA",
        "credential": "M.,A.E., ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANEL",
            "last_name": "DE MIRANDA",
            "middle_name": "ANGELY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennay Burgess, MD
• Lailatullah Burgos, APRN, NP-C
• Carol W Burke, R.D., L.D.
• Austin John Burket, PA-C
• Francisco Jose Carreras-Miranda, MD
• Jennifer Casola, APRN
• John Parker Chapman II
• Hari Priya Chebrolu, DMD
• Amy Susan Choto, P.T.
• Robert Purcell Christiansen, MS, CAP

• Mental Health Counselor in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.