Individual provider Active NPI

Marissa Julie Siegel

  • Mental Health Counselor
  • Winter Garden, FL
National Provider Identifier
1932772738
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22897 Issued in FL
Practice address
855 E Plant St Ste 1600
Winter Garden, FL 34787-3167
Phone
(321) 330-6433
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 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 MH22897 FL Primary

Addresses

Primary practice location

855 E Plant St Ste 1600
Winter Garden, FL 34787-3167

Mailing address

855 E Plant St Ste 1600
Winter Garden, FL 34787-3167
Phone (321) 330-6433

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
I20250923002687 FL Practitioner - Mental Health Counselor 5294230132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1777 Tamiami TRL
Suite 500
Port Charlotte, FL 33948-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Behavioral Health LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

1777 Tamiami Trl
Ste 500
Port Charlotte, FL 33948
Phone (941) 391-6605

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1932772738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E PLANT ST STE 1600",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873167",
            "telephone_number": "321-330-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E PLANT ST STE 1600",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873167",
            "telephone_number": "321-330-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MARISSA",
        "middle_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.