Image and Likeness Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IMAGE AND LIKENESS COUNSELING LLC

Practice address

1950 W State Road 426 # 1003
Oviedo, FL 32765-9145

Phone

(407) 803-4717

Fax

(407) 347-2293

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Mirella Caro-Cortes, MSNPI 1356880843

Title

LMHC, NCC

Phone

(407) 803-4717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Image and Likeness Counseling LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirella Caro-Cortes

  • Mental Health Counselor
  • Oviedo, FL
  • NPI 1356880843
  NPD Authorized official

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1700428612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LAKE ROGERS CIR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657225",
            "telephone_number": "407-803-4717",
            "fax_number": "407-347-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W STATE ROAD 426 # 1003",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659145",
            "telephone_number": "407-803-4717",
            "fax_number": "407-347-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE AND LIKENESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "CARO-CORTES",
        "authorized_official_first_name": "MIRELLA",
        "authorized_official_title_or_position": "LMHC, NCC",
        "authorized_official_telephone_number": "407-803-4717",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121212400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Image and Likeness Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Oviedo, FL
• Providers in Oviedo, 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 Jun 18, 2025; 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.