Individual provider Active NPI

Reina Matychak, LMHC

  • Mental Health Counselor
  • The Villages, FL
National Provider Identifier
1700411154
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25113 Issued in FL
Practice address
1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987
Phone
(833) 769-3524
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH25113 FL Primary
Licensed Practical Nurse 164W00000X PN5174665 FL

Addresses

Primary practice location

1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987

Mailing address

1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987
Phone (833) 769-3524

Other practice location 1

2440 N Essex Ave
Citrus Hills, FL 34442-5320
Phone (352) 558-8058

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
I20250320000250 FL Practitioner - Mental Health Counselor 4981126836 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality BHS Florida LLCGroup PAC ID 4082030721, 26 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

100 S Ashley Dr
Suite 600
Tampa, FL 33602-5300
Phone (305) 250-2435

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

832 S Hwy 41
Inverness, FL 34450-6859
Phone (352) 448-6625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PN5174665FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Telos Health Systems FL LLC Mental Health CurrentSince Nov 2, 2025 Accepting new patients
Quality BHS Florida, LLC Multi-Specialty CurrentSince Jul 10, 2025 Accepting new patients
Creative Pathways Therapy, LLC Multi-Specialty CurrentSince Feb 28, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 18, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Personal Recovery Network LLC Multi-Specialty CurrentSince Sep 28, 2025 Accepting new patients
Cotler Healthcare & Development Inc. Multi-Specialty CurrentSince Aug 4, 2025 Accepting new patients

Locations

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

832 S US Highway 41
Inverness, FL 34450
Phone (352) 341-4600

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

615 Crescent Executive Ct
Ste 100
Lake Mary, FL 32746
Phone (201) 217-6777

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

980 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 217-6777

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1700411154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 553",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "833-769-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 553",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 N Essex Ave",
            "address_purpose": "LOCATION",
            "city": "Citrus Hills",
            "state": "FL",
            "postal_code": "344425320",
            "country_code": "US",
            "telephone_number": "352-558-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATYCHAK",
        "first_name": "REINA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25113",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5174665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.