Individual provider Active NPI

Laurie-Anne C Kuzel, LMHC

  • Mental Health Counselor
  • Homosassa, FL
National Provider Identifier
1801270541
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15267 Issued in FL
Practice address
3844 S Red Eagle Ter
Homosassa, FL 34448-7326
Phone
(352) 634-1168
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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 IMH12757 FL
Mental Health Counselor 101YM0800X MH15267 FL Primary

Addresses

Primary practice location

3844 S Red Eagle Ter
Homosassa, FL 34448-7326

Mailing address

3844 S Red Eagle Ter
Homosassa, FL 34448-7326
Phone (352) 634-1168

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
I20240429000786 FL Practitioner - Mental Health Counselor 8325488091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH12757FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Tide Therapy, LLC Mental Health CurrentSince Apr 16, 2024 Accepting new patients

Locations

7647 W Gulf To Lake Hwy
Ste 4
Crystal River, FL 34429
Phone (352) 212-7435

Organizations & group practices 1

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1801270541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 S RED EAGLE TER",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344487326",
            "telephone_number": "352-634-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 S RED EAGLE TER",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344487326",
            "telephone_number": "352-634-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZEL",
        "first_name": "LAURIE-ANNE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH12757",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.