ENLIVEN PSYCHIATRIC ASSOCIATES LLC
NPI 1548979347
Nurse Practitioner - Psychiatric/Mental Health in Saint Cloud, FL

Active since November 21, 2022
2801 13TH ST, SAINT CLOUD, FL 34769(321) 209-8786 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Enliven Psychiatric Associates Llc NPPES

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

ENLIVEN PSYCHIATRIC ASSOCIATES LLC (NPI 1548979347) is a healthcare organization registered as a psychiatric/mental health in Saint Cloud, Florida and active in the NPI registry since November 2022. The organization lists Solbrekken Selvam, Manager, as its authorized official.

NPPES Registry Identity

NPI1548979347
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameENLIVEN PSYCHIATRIC ASSOCIATES LLC
Location Address2801 13TH STSaint Cloud, FL 34769-4134
Mailing Address2801 13th StSaint Cloud, FL 34769-4134 · (321) 209-8786
Organization SubpartNo
Authorized OfficialSolbrekken SelvamManager · (407) 922-2618
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 20, 2022
✔ NPI 1548979347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2801 13TH ST, Saint Cloud, FL 34769

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enliven Psychiatric Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Enliven Psychiatric Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1104425800
102 PARK PLACE BLVD STE D1
Kissimmee, FL 34741
(407) 851-5121
✔ PECOS✔ Accepts Medicare7.9 mi

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 Enliven Psychiatric Associates LLC's NPI number?

The NPI number for Enliven Psychiatric Associates LLC is 1548979347. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Enliven Psychiatric Associates LLC located?

Enliven Psychiatric Associates LLC is located at 2801 13th St, Saint Cloud, FL 34769. The listed phone number is (321) 209-8786.

What is Enliven Psychiatric Associates LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Enliven Psychiatric Associates LLC enrolled in Medicare?

Yes. Enliven Psychiatric Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Enliven Psychiatric Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Enliven Psychiatric Associates LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Enliven Psychiatric Associates LLC was last updated on November 21, 2022. 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.