LARISA VIVOLO LMHC
NPI 1265116370
Counselor - Mental Health in Jupiter, FL

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment
4425 MILITARY TRL, JUPITER, FL 33458(561) 747-2775 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Larisa Vivolo Lmhc NPPES

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

LARISA VIVOLO LMHC (NPI 1265116370) is an individual mental health provider in Jupiter, Florida, licensed in Florida (22146) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265116370
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLARISA VIVOLOCredential: LMHC
Location Address4425 MILITARY TRLJupiter, FL 33458-4819
Mailing Address335 Charroux DrPalm Beach Gardens, FL 33410-1615 · (516) 661-5366
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 12, 2023
NPPES CertifiedJune 10, 2023
✔ NPI 1265116370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 22146
4425 MILITARY TRL, Jupiter, FL 33458

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larisa Vivolo Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426406711
PECOS Enrollment IDI20231127003448
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Larisa Vivolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Assisted Living Facility
1251 BUSINESS WAY
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Dna Comprehensive Therapy Services LLC
  • 618 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4425 MILITARY TRL, SUITE 203
JUPITER, FL 33458
Internal Medicine (Cardiovascular Disease)
4425 MILITARY TRL, SUITE 102
JUPITER, FL 33458
Social Worker (Clinical)
4425 MILITARY TRL, SUITE 203
JUPITER, FL 33458
Internal Medicine (Nephrology)
4425 MILITARY TRL, SUITE 212
JUPITER, FL 33458
Case Manager/Care Coordinator
4425 MILITARY TRL, #203
JUPITER, FL 33458
Internal Medicine (Nephrology)
4425 MILITARY TRL, SUITE 4425
JUPITER, FL 33458
Internal Medicine (Nephrology)
4425 MILITARY TRL, SUITE 212
JUPITER, FL 33458
Internal Medicine (Cardiovascular Disease)
4425 MILITARY TRL, SUITE 102
JUPITER, FL 33458

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 Larisa Vivolo's NPI number?

The NPI number for Larisa Vivolo is 1265116370. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Larisa Vivolo located?

Larisa Vivolo practices at 4425 Military Trl, Jupiter, FL 33458. The listed phone number is (561) 747-2775.

What is Larisa Vivolo's specialty?

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

Is Larisa Vivolo enrolled in Medicare?

Yes. Larisa Vivolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Larisa Vivolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larisa Vivolo reassigns Medicare benefits to Lehigh Acres Bg Opco LLC (Lehigh Acres, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larisa Vivolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larisa Vivolo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Larisa Vivolo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larisa Vivolo was last updated on June 12, 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.