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

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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.

• Positive Mindset Group

  • Clinical Psychologist
  • Saint Cloud, FL
  • NPI 1982225595
  Medicare reassignment NPD
• Stephanie M Cruz, LLC

  dba Sunbeam Mental Care

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

  Mental Health

  Medicare reassignment NPD
• Wellness Mindset Counseling Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Cloud, FL
  • NPI 1992573166
  Medicare reassignment NPD
• A Great Life Services Inc

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

  Mental Health

  NPD (past)

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

{
    "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 (Audibel Hearing Center)
• Deanna Novack, RBT
• Kwame Safo Ntim, MD

• Mental Health Counselor in Saint Cloud, FL
• Providers in Saint Cloud, 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 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.