Active NPI
Lanicia Wanzetta Cain, MS
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1851861256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH24262
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119812600 | Medicaid | FL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH15376 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MCAP0101003 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| 15376 | FL | MD | Mental Health Counselor |
| MH24262 | FL | MD | Mental Health Counselor |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change in Motion | Mental Health | Current | 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.
-
- Mental Health Counselor
- Winter Park, FL
- NPI 1821469396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.