ALYSSA LANDRY LMFT, LMHC
NPI 1164110193
Counselor - Mental Health in Mount Dora, FL

Active since April 27, 2023Opted out of Medicare · through Apr 26, 2028
851 N DONNELLY ST STE 7, MOUNT DORA, FL 32757(321) 209-2049 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Alyssa Landry Lmft, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA LANDRY LMFT, LMHC (NPI 1164110193) is an individual mental health provider in Mount Dora, Florida and active in the NPI registry since April 2023. She has opted out of Medicare through April 26, 2028.

NPPES Registry Identity

NPI1164110193
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALYSSA LANDRYCredential: LMFT, LMHC
Location Address851 N DONNELLY ST STE 7Mount Dora, FL 32757-4835
Mailing Address851 N Donnelly St Ste 7Mount Dora, FL 32757-4835 · (321) 209-2049
Sole ProprietorYes
Enumeration DateApril 27, 2023
Last NPPES UpdateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1164110193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
851 N DONNELLY ST STE 7, Mount Dora, FL 32757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Alyssa Landry Lmft, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 26, 2024 through April 26, 2028.

Opt-Out Effective DateApril 26, 2024
Opt-Out In Effect ThroughApril 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Landry's NPI number?

The NPI number for Alyssa Landry is 1164110193. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Alyssa Landry located?

Alyssa Landry practices at 851 N Donnelly St Ste 7, Mount Dora, FL 32757. The listed phone number is (321) 209-2049.

What is Alyssa Landry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alyssa Landry enrolled in Medicare?

No. Alyssa Landry has opted out of Medicare through April 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alyssa Landry was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.