Ivelisse Nieves, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23117 Issued in FL

Practice address

4741 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400

Phone

(407) 715-2099

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

Yes

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.

• Positive Mindset Group

  • Clinical Psychologist
  • Saint Cloud, FL
  • NPI 1982225595

  FL

  Medicare reassignment NPD
• Stephanie M Cruz, LLC

  • Community/Behavioral Health Agency
  • Saint Cloud, FL
  • NPI 1588295190

  FL, Mental Health

  Medicare reassignment NPD
• Wellness Mindset Counseling Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Cloud, FL
  • NPI 1992573166

  FL, Mental Health

  Medicare reassignment NPD
• A Great Life Services Inc

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1144367418

  Mental Health

  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2024.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1760979306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 13TH ST # 1065",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696775",
            "telephone_number": "321-428-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691400",
            "telephone_number": "407-715-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "IVELISSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nico Care Services LLC
• Naga Lakshmana Prasad Nidadavolu, M.D
• Rekha Nidadavolu, PHYSICIAN ASSISTANT
• Edward Troy Nielsen, L.M.H.C.
• Glenda Marie Nieves Perez, M.D.
• Jeisse Nodar, RBT
• Robert Noll, M.S.
• Northland Hearing Centers Inc
• Deanna Novack, RBT
• Kwame Safo Ntim, MD

• All providers in Saint Cloud, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.