Individual provider Active NPI

Xiara Reyes

  • Mental Health Counselor
  • Deland, FL
National Provider Identifier
1831925577
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH24227 Issued in FL
Practice address
201 W Plymouth Ave
Deland, FL 32720-2753
Phone
(386) 873-2963
Fax
(386) 873-2786
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH24227 FL Primary

Addresses

Primary practice location

201 W Plymouth Ave
Deland, FL 32720-2753

Mailing address

101 N Woodland Blvd Ste A303
Deland, FL 32720-4240
Phone (386) 882-2995

Other practice location 1

101 N Woodland Blvd Ste A303
Deland, FL 32720-4240
Phone (407) 349-3341

Other practice location 2

3993 Sr 46
Sanford, FL 32771-9726
Phone (407) 732-4272

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
IMH24227FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saafe Health Services LLC CurrentSince Feb 9, 2025 Accepting new patients
Gotlen Consulting LLC CurrentSince Sep 1, 2024 Accepting new patients
Saafe Behavioral Services LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

101 N Woodland Blvd
Ste A303
Deland, FL 32720
Phone (407) 349-3341

100 E New York Ave
Ste 103KK
Deland, FL 32724

3993 W State Road 46
Sanford, FL 32771
Phone (407) 732-4272

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1831925577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N WOODLAND BLVD STE A303",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204240",
            "telephone_number": "386-882-2995",
            "fax_number": "407-979-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Woodland Blvd Ste A303",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327204240",
            "country_code": "US",
            "telephone_number": "407-349-3341",
            "fax_number": "407-979-8714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3993 SR 46",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327719726",
            "country_code": "US",
            "telephone_number": "407-732-4272",
            "fax_number": "407-732-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "XIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.