Grace Pena, PSYD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 5773 Issued in FL

Practice address

600 U.S. Hwy 27 Suite # 1
Minneola, FL 34715-6000

Phone

(407) 209-7492

Fax

(352) 241-8372

NPI assigned

Apr 6, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Psychoeducational Center

  • Mental Health Counselor
  • Minneola, FL
  • NPI 1417341488
  NPD (past) Authorized official

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821051491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BRIMMING LAKE RD",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347156000",
            "telephone_number": "407-209-7492",
            "fax_number": "352-241-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 U.S. HWY 27 SUITE # 1",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347156000",
            "telephone_number": "407-209-7492",
            "fax_number": "352-241-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ortiz, LMHC
• Kalpesh Shivabhai Patel
• Shirley Pattan, LCSW
• Nevil Paul
• Aaron M Pazik, DC
• Maria Pena
• Katherine E Peres, PH.D.
• Renee D Phares, OTR
• Erin Pisauro, LPTA
• Progress Is Possible, Inc.

• Mental Health Counselor in Minneola, FL
• Providers in Minneola, 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 Jul 13, 2026; 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.