Individual provider Active NPI

Michelle Carmona, PHD

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1710508908
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22359 Issued in FL
Practice address
1950 Lee Rd Ste 101
Winter Park, FL 32789-1847
Phone
(407) 308-2050
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 MH22359 FL Primary

Addresses

Primary practice location

1950 Lee Rd Ste 101
Winter Park, FL 32789-1847

Mailing address

1950 Lee Rd Ste 101
Winter Park, FL 32789-1847
Phone (407) 308-2050

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
I20250320003531 FL Practitioner - Mental Health Counselor 0143742999 Reassigns benefits to 1 organization

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
Families First of Florida LLCGroup PAC ID 6800325457, 4 clinicians

Practice addresses (Care Compare)

4902 Eisenhower Blvd
Suite 315
Tampa, FL 33634-6344
Phone (813) 290-8560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Families First of Florida LLC CurrentSince Jan 16, 2025 Accepting new patients
Shelly Z Therapy LLC CurrentSince Nov 19, 2023 Accepting new patients
Families First of Florida, LLC PastSince Aug 29, 2021 Accepting new patients

Locations

4902 Eisenhower Blvd
Ste 315
Tampa, FL 33634

1950 Lee Rd
Ste 101
Winter Park, FL 32789
Phone (352) 639-4337

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.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1710508908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891847",
            "telephone_number": "407-308-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891847",
            "telephone_number": "407-308-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.