Individual provider Active NPI

Lanicia Wanzetta Cain, MS

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1851861256
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24262 Issued in FL
Practice address
414 Lake Howell Rd
Maitland, FL 32751-5900
Phone
(407) 575-9102
Fax
(407) 558-3438
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 MH24262 FL Primary

Addresses

Primary practice location

414 Lake Howell Rd
Maitland, FL 32751-5900

Mailing address

1850 Lee Rd Ste 322
Winter Park, FL 32789-2107
Phone (407) 637-2633

Other practice location 1

1850 Lee Rd Ste 322
Winter Park, FL 32789-2107
Phone (407) 637-2633

Other identifiers 1

IdentifierTypeStateIssuer
119812600MedicaidFL

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH15376FLMDAddiction (Substance Use Disorder) Counselor
MCAP0101003FLMDAddiction (Substance Use Disorder) Counselor
15376FLMDMental Health Counselor
MH24262FLMDMental Health Counselor

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Change in Motion Mental Health CurrentSince Aug 11, 2021 Accepting new patients

Locations

414 Lake Howell Rd
Maitland, FL 32751
Phone (321) 317-7188

1850 Lee Rd
Ste 322
Winter Park, FL 32789
Phone (407) 637-2633

Networks

  • Freedom Health HMO Network

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1851861256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LEE RD STE 322",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892107",
            "telephone_number": "407-637-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515900",
            "telephone_number": "407-575-9102",
            "fax_number": "407-558-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Lee Rd Ste 322",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327892107",
            "country_code": "US",
            "telephone_number": "407-637-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "LANICIA",
        "middle_name": "WANZETTA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119812600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.