Caitlin Hillis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17598 Issued in FL

Practice address

4100 Spirit Lake Rd Ste 4
Winter Haven, FL 33880-5081

Phone

(863) 800-0758

Fax

(863) 937-9659

NPI assigned

Dec 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Caitlin Mueller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Hope in Healing LLC

  • Community/Behavioral Health Agency
  • Winter Haven, FL
  • NPI 1457984643

  Mental Health

  NPD (past)
• Lifecare of Lakeland, LLC

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1972945087
  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1912412099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 S FLORIDA AVE APT 4104",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPIRIT LAKE RD STE 4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805081",
            "telephone_number": "863-800-0758",
            "fax_number": "863-937-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH16594",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084021-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MUELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Rachel Hieber, RD, LD
• Candee Higgins, PTA
• Highland Ventures, Inc.
• Highlands Occupational Therapy, Inc
• Donys Rene' Hill, LPN
• Rong D Ho
• Viet Ho, D.D.S
• Tranchau Le Hoang, DMD
• Karyl Hobbs, PA-C
• Kayla Victoria Hobbs, LCSW

• Mental Health Counselor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.