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CENTRAL FLORIDA PSYCHOTHERAPY SERVICES LLC
NPI 1689286809
Social Worker - Clinical in Lakeland, FL

Active since August 19, 2020
5302 S FLORIDA AVE STE 200, LAKELAND, FL 33813(853) 602-7001(863) 583-8585 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Florida Psychotherapy Services Llc NPPES

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

CENTRAL FLORIDA PSYCHOTHERAPY SERVICES LLC (NPI 1689286809), doing business as Psychotherapy Services Of Newlight, is a healthcare organization registered as a clinical in Lakeland, Florida and active in the NPI registry since August 2020. The organization lists Jomon Thekkethottiyil, Owner, as its authorized official.

NPPES Registry Identity

NPI1689286809
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCENTRAL FLORIDA PSYCHOTHERAPY SERVICES LLC
Location Address5302 S FLORIDA AVE STE 200Lakeland, FL 33813-4922
Mailing Address5302 S Florida Ave Ste 203Lakeland, FL 33813-4910 · (863) 602-7001 · Fax (863) 583-8585
Phone(853) 602-7001
Fax(863) 583-8585
Organization SubpartNo
Authorized OfficialJomon ThekkethottiyilOwner · (330) 416-3867
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1689286809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5302 S FLORIDA AVE STE 200, Lakeland, FL 33813
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Other Names 1

Doing Business AsPsychotherapy Services Of Newlight

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)

Central Florida Psychotherapy Services 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 Central Florida Psychotherapy Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jomon Thekkethottiyil
Clinical Social Worker
NPI 1023376894
4024 CENTRAL AVE
St Petersburg, FL 33711
(727) 327-7656
✔ PECOS✔ Accepts Medicare46 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 Central Florida Psychotherapy Services LLC's NPI number?

The NPI number for Central Florida Psychotherapy Services LLC is 1689286809. It was assigned to this organization in the NPPES registry on August 19, 2020. The provider is doing business as Psychotherapy Services of Newlight.

Where is Central Florida Psychotherapy Services LLC located?

Central Florida Psychotherapy Services LLC is located at 5302 S Florida Ave Ste 200, Lakeland, FL 33813. The listed phone number is (853) 602-7001.

What is Central Florida Psychotherapy Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Central Florida Psychotherapy Services LLC enrolled in Medicare?

Yes. Central Florida Psychotherapy Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Florida Psychotherapy Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Central Florida Psychotherapy Services 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 Central Florida Psychotherapy Services LLC was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.