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MRS. LYDIA ANGELICA ANTONATOS LMHC
NPI 1790328144
Counselor - Mental Health in Palm Bay, FL

Active since October 17, 2019PECOS EnrolledAccepts Medicare Assignment
3732 COACHMAN LN SE, PALM BAY, FL 32909(954) 260-3979 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Oct 17, 2019 (2 updates tracked since 2019).

About Mrs. Lydia Angelica Antonatos Lmhc NPPES

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

MRS. LYDIA ANGELICA ANTONATOS LMHC (NPI 1790328144) is an individual mental health provider in Palm Bay, Florida, licensed in Florida (17334) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1790328144
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LYDIA ANGELICA ANTONATOSCredential: LMHC
Location Address3732 COACHMAN LN SEPalm Bay, FL 32909-1335
Mailing Address3732 Coachman Ln SePalm Bay, FL 32909-1335 · (954) 260-3979
Phone(954) 260-3979
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 17, 2019
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1790328144 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 · 17334
3732 COACHMAN LN SE, Palm Bay, FL 32909
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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), UnitedHealthcare.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

Mrs. Lydia Angelica Antonatos 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 ID42655524
PECOS Enrollment IDI20240225000009
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.

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 Lydia Antonatos's NPI number?

The NPI number for Lydia Antonatos is 1790328144. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Lydia Antonatos located?

Lydia Antonatos practices at 3732 Coachman Ln SE, Palm Bay, FL 32909. The listed phone number is (954) 260-3979.

What is Lydia Antonatos's specialty?

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

Is Lydia Antonatos enrolled in Medicare?

Yes. Lydia Antonatos 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.

What insurance does Lydia Antonatos accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Lydia Antonatos 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 Lydia Antonatos was last updated on October 11, 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.