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Active NPI 1104188655 Individual Practitioner Female Practitioner

Nisy Itty , MHS, CRC

Counselor • Winter Park, FL

Professional Overview & Biography Verified Profile Summary

Nisy Itty, MHS, CRC is a registered healthcare professional specializing in Counselor in Winter Park, FL. Practice services are available at 315 N LAKEMONT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

315 N Lakemont Ave
Suite B

Winter Park, FL 327923205

Telephone 4078306412
Fax 4078308413
Associated Practice Facility / Clinic
🏢 Charles Mella M.d. P.a. Facility NPI 1902054554

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Winter Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Winter Park, FL (3441 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL 00111018

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cynthia Salgado

Social Worker

NPI 1003207523
Gladis Holland

Social Worker

NPI 1013459403
Derek Williams , MS

Case Manager/Care Coordinator

NPI 1023489234

Master of Science

Theodule Jean-Pierre

Behavior Analyst

NPI 1033503834
NPI 1033519822
Ana Rodriguez , BS

Case Manager/Care Coordinator

NPI 1043614563

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2012

Registered at 315 N LAKEMONT AVE, SUITE B, WINTER PARK, FL 327923205 (Tel: 4078306412)

📍
Updated Business Mailing Address June 11, 2012

Registered at 453 BRIDGE CREEK BLVD, OCOEE, FL 347614726 (Tel: 3212173641)

👤
Provider Name / Credentials Updated June 11, 2012

Recorded as NISY ITTY, M.H.S, CRC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2012

Counselor (License #00111018 in FL)

🟢
Initial NPI Registration & Enumeration June 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104188655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2012
Last Update: June 11, 2012
Sole Proprietor: Yes

Mailing Address

453 Bridge Creek Blvd

Ocoee, FL 347614726

Phone: 3212173641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.