Individual provider Active NPI

Melanie Cavallaro

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1780278069
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21570 Issued in FL
Practice address
725 Primera Blvd Ste 145
Lake Mary, FL 32746-2130
Phone
(407) 279-0922
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 Counselor 101YM0800X IMH18661 FL
Mental Health Counselor 101YM0800X MH21570 FL Primary

Addresses

Primary practice location

725 Primera Blvd Ste 145
Lake Mary, FL 32746-2130

Mailing address

4145 Caledonia Ave
Apopka, FL 32712-6048
Phone (321) 689-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH18661FLMDMental Health Counselor
MH21570FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cavallaro Counseling LLC Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Lake Mary Counseling Mental Health PastSince Dec 24, 2023 Accepting new patients
LMC Debary LLC Mental Health PastSince Dec 1, 2022 Accepting new patients

Locations

725 Primera Blvd
Ste 145
Lake Mary, FL 32746
Phone (321) 472-3200

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1780278069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CALEDONIA AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327126048",
            "telephone_number": "321-689-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD STE 145",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462130",
            "telephone_number": "407-279-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH18661",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • 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.