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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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: July 19, 2026.

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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

Phone(561) 747-2775

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.