Individual provider Active NPI

Stephanie Minarik

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1790024818
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3501 W Vine St Ste 115
Kissimmee, FL 34741-4644
Phone
(407) 483-3722
NPI assigned
Feb 8, 2013
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 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 Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

3501 W Vine St Ste 115
Kissimmee, FL 34741-4644

Mailing address

114 Kassik Cir
Orlando, FL 32824-5824
Phone (610) 417-0932

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
I20240416001858 FL Practitioner - Mental Health Counselor 3072952696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Transition House, Inc. Community/Behavioral Health CurrentSince Feb 29, 2024 Accepting new patients
The Transition House, Inc. Community/Behavioral Health PastSince Aug 1, 2021 Accepting new patients

Locations

3501 W Vine St
Ste 115
Kissimmee, FL 34741
Phone (407) 483-3074

3501 W Vine St
Ste 319
Kissimmee, FL 34741

3800 5th St
Saint Cloud, FL 34769

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1790024818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 KASSIK CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245824",
            "telephone_number": "610-417-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST STE 115",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414644",
            "telephone_number": "407-483-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARIK",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.