Wellness Mindset Counseling Services LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Saint Cloud, FL
NPI 1992573166 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1992573166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- WELLNESS MINDSET COUNSELING SERVICES LLC
- Practice address
- 1417 Hamlin Ave Unit G
Saint Cloud, FL 34771-8590 - Phone
- (407) 676-4276
- NPI assigned
- Dec 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Ekiba Ayisha Smith
- Title
- Owner
- Phone
- (407) 676-4276
Practitioners 11
-
Ekiba Smith, MS
-
Ivelisse Nieves, LMHC
-
Precious Monique Spencer, PMHNP-BC, APRN
-
Aidsha Vazquez, ARNP
-
Uma Durairaj, ARNP
-
Rosalind Daley, APRN, PMHNP
-
Alia Khederoo, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241003000266 | FL | Part B Supplier - Clinic/Group Practice | 6406387331 |
Receives reassigned benefits from 7 practitioners Practice locations: Saint Cloud, FL |
National Provider Directory
Locations
1417 Hamlin Ave
Unit G
Saint Cloud, FL 34771
Phone (407) 346-1466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1417 Hamlin Ave Unit G
Saint Cloud, FL 34771-8590
Mailing address
1427 Belladonna PL # 1018
Saint Cloud, FL 34771-5813
Phone (954) 465-4942
Other names
- Wellness Mindset Counseling Services LLC
Other providers in Saint Cloud, FL
- Webb Family Dental Care PA
- Cortni Webb
- Victoria Lee Webb
- Jacqueline Weglewski
- Welcome to Wellness Inc
- Mark A Wells
- Lorraine Ann Wesenberg
- Camris Taylor Westby
- Susan Elizabeth Whelan
- Abigail McKenzie Whitfield
All providers in Saint Cloud, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.