Individual provider Active NPI

Elizabeth Black Diguiseppi, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1902019235
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3919 Issued in FL
Practice address
260 Lookout PL Ste 202
Maitland, FL 32751-4485
Phone
(833) 769-3524
Fax
(407) 232-9437
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 MH3919 FL Primary

Addresses

Primary practice location

260 Lookout PL Ste 202
Maitland, FL 32751-4485

Mailing address

260 Lookout PL Ste 202
Maitland, FL 32751-4485
Phone (833) 769-3524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214003895 FL Practitioner - Mental Health Counselor 0547619553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

260 Lookout PL
Suite 202
Maitland, FL 32751-4485
Phone (407) 537-9450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH3919FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Jan 1, 2024 Accepting new patients
Orlando Behahavioral Healthcare Mental Health Past Accepting new patients
Lifestance Health PastSince Jul 21, 2024 Accepting new patients

Locations

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

260 Lookout Pl
Ste 101
Maitland, FL 32751
Phone (407) 537-9450

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: fbh.elizabethdiguiseppi@141363.advancedmd-direct.com

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1902019235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGUISEPPI",
        "first_name": "ELIZABETH",
        "middle_name": "BLACK",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.