Individual provider Active NPI

Eliane Fuentes

  • Counselor
  • Gainesville, FL
National Provider Identifier
1871178590
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4131 NW 28TH LN Ste 7C
Gainesville, FL 32606-7432
Phone
(352) 247-8290
NPI assigned
Mar 15, 2021
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

4131 NW 28TH LN Ste 7C
Gainesville, FL 32606-7432

Mailing address

4131 NW 28TH LN Ste 7C
Gainesville, FL 32606-7432
Phone (352) 247-8290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20240106000418 FL Practitioner - Mental Health Counselor 5890146575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Leon Therapy LLC CurrentSince Jul 22, 2025 Accepting new patients
Gainesville Community Counseling Center CurrentSince Jan 2, 2024 Accepting new patients

Locations

3850 NW 83rd St
#201
Gainesville, FL 32606
Phone (352) 265-5500

4131 NW 28th Ln
Ste 7C
Gainesville, FL 32606
Phone (352) 247-8290

7106 NW 11th Pl
Ste B
Gainesville, FL 32605
Phone (352) 331-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1871178590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 NW 28TH LN STE 7C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067432",
            "telephone_number": "352-247-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NW 28TH LN STE 7C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067432",
            "telephone_number": "352-247-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "ELIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.