FIVESHINE CORPORATION
NPI 1356184121
Social Worker - Clinical in Orlando, FL
About Fiveshine Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIVESHINE CORPORATION (NPI 1356184121), doing business as Ellie Mental Health, is a healthcare organization registered as a clinical in Orlando, Florida and active in the NPI registry since June 2024. The organization lists Jamie E Olofson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fiveshine Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Fiveshine Corporation, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Orlando, FL 32828
Orlando, FL 32828
Orlando, FL 32828
Altamonte Springs, FL 32714
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fiveshine Corporation's NPI number?
The NPI number for Fiveshine Corporation is 1356184121. It was assigned to this organization in the NPPES registry on June 18, 2024. The provider is doing business as Ellie Mental Health.
Where is Fiveshine Corporation located?
Fiveshine Corporation is located at 3680 Avalon Park East Blvd Ste 301, Orlando, FL 32828. The listed phone number is (407) 928-1425.
What is Fiveshine Corporation's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Fiveshine Corporation enrolled in Medicare?
Yes. Fiveshine Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fiveshine Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Fiveshine Corporation. A 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 the clinician's services. The largest specialties are Mental Health Counselor (6), Clinical Social Worker (2) and Clinical Psychologist (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fiveshine Corporation accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Fiveshine Corporation 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 Fiveshine Corporation was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Fiveshine Corporation · NPI 1356184121
Clinical organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since June 18, 2024.
## Identity
- **NPI:** 1356184121 (Entity type: Organization)
- **Enumerated:** June 18, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Also known as:** Ellie Mental Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jamie Olofson, PRESIDENT
## Practice location
- **Address:** 3680 AVALON PARK EAST BLVD STE 301, Orlando, FL 32828-9372
- **Phone:** (407) 928-1425
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (6), Clinical Social Worker (2), Clinical Psychologist (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356184121) · Data from the CMS NPPES public registry.