LIFESTREAM BEHAVIORAL CENTER INC
NPI 1902802002
Psychiatric Hospital in Leesburg, FL

Active since June 23, 2005CLIA 10D1047592 · Waiver
2020 TALLEY RD, LEESBURG, FL 34748(352) 315-7800(352) 315-6595 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lifestream Behavioral Center Inc NPPES

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

LIFESTREAM BEHAVIORAL CENTER INC (NPI 1902802002) is a healthcare organization registered as a psychiatric hospital in Leesburg, Florida and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Carol E Dozier, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902802002
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameLIFESTREAM BEHAVIORAL CENTER INC
Location Address2020 TALLEY RDLeesburg, FL 34748-3426
Mailing AddressPo Box 491000Leesburg, FL 34749-1000 · (352) 315-7500 · Fax (352) 360-6595
Fax(352) 315-6595
Organization SubpartNo
Authorized OfficialCarol E DozierCfo · (352) 315-7532
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 18, 2012
✔ NPI 1902802002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in FL · 4075
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
2020 TALLEY RD, Leesburg, FL 34748

Other Identifiers 11

OtherE-83FL · Bcbs Inpatient Number
Medicare ID-Type Unspecified98270FL · Part B Number
Medicaid060334100FL
Medicaid060334108FL
Other151443FL · Wellcare Provider #
Medicaid060334105FL
Medicaid024576301FL
Medicaid360181100FL
Other98270FL · Bcbs Outpatient Number
Medicaid060334102FL
Medicare OSCAR/certification10-4018FL

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)

Lifestream Behavioral Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Lifestream Behavioral Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner26
Clinical Social Worker4
Psychiatry4
Family Practice1

Nearest to this location (20)

See all 35
Nurse Practitioner
NPI 1063044584
2020 TALLY RD
Leesburg, FL 34748
(352) 315-7800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1871940783
2020 TALLEY ROAD
Leesburg, FL 34748
(352) 315-7800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1467416511
2020 TALLEY RD
Leesburg, FL 34748
(352) 315-7810
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1629033493
2018 TALLEY RD
Leesburg, FL 34748
(352) 315-7500
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1629436282
733 N 3RD ST
Leesburg, FL 34748
(352) 901-6582
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1801364377
215 N 3RD ST
Leesburg, FL 34748
(352) 315-7900
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1639759764
215 N 3RD ST
Leesburg, FL 34748
(352) 315-7900
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1053277947
215 N 3RD ST
Leesburg, FL 34748
(352) 315-7900
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1700168085
280 FARNER PL
The Villages, FL 32163
(844) 884-9355
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1073135091
814 E ALFRED ST
Tavares, FL 32778
(407) 801-1966
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1710473517
201 EAST MAGNOLIA AVE
Eustis, FL 32726
(352) 357-1550
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1437490190
1303 LIMIT AVE STE 207 SUITE 207
Mount Dora, FL 32757
(352) 405-0078
✔ PECOS16 mi
Nurse Practitioner
NPI 1639698822
2140 N DON WICKHAM DR
Clermont, FL 34711
(352) 394-5922
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1851867766
2140 N DON WICKHAM DR # B
Clermont, FL 34711
(352) 394-5922
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1447724711
2140 N DON WICKHAM DR
Clermont, FL 34711
(352) 394-5922
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1093258642
1230 OAKLEY SEAVER DR STE 101
Clermont, FL 34711
(407) 796-2406
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1417032780
2922 SE 38TH PL
Ocala, FL 34480
(352) 694-8155
✔ PECOS25 mi
Nurse Practitioner
NPI 1679927719
1554 BOREN DR STE 100
Ocoee, FL 34761
(407) 614-2715
✔ PECOS✔ Accepts Medicare29 mi
Psychiatry
NPI 1558637363
434 W KENNEDY BLVD
Orlando, FL 32810
(407) 875-3700
✔ PECOS✔ Accepts Medicare34 mi
Clinical Social Worker
NPI 1902125685
862 DELFINO PL
Lake Mary, FL 32746
(386) 336-6197
✔ PECOS✔ Accepts Medicare36 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1047592

Lifestream Behavioral Ctr Sa · Leesburg, FL
Active · expires Nov 7, 2027
CLIA Number10D1047592
Laboratory TypeOther
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorLinda R. Giacomi
Laboratory Phone(352) 315-7500
Laboratory LocationLifestream Behavioral Ctr SaSubstance Abuse Complex 2018 Tally Rd, Leesburg, FL 34748
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Lifestream Behavioral Center (CMS certification number 104018), from CMS Care Compare.

Lifestream Behavioral Center

Psychiatric · Leesburg, FL
OwnershipProprietary
CMS Certification Number104018
Location2020 Tally RdLeesburg, FL 34748 · Lake County · (352) 315-7800

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 Lifestream Behavioral Center Inc's NPI number?

The NPI number for Lifestream Behavioral Center Inc is 1902802002. It was assigned to this organization in the NPPES registry on June 23, 2005.

Where is Lifestream Behavioral Center Inc located?

Lifestream Behavioral Center Inc is located at 2020 Talley Rd, Leesburg, FL 34748. The listed phone number is (352) 315-7800.

What is Lifestream Behavioral Center Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Lifestream Behavioral Center Inc enrolled in Medicare?

Yes. Lifestream Behavioral Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifestream Behavioral Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 4 Medicare specialties reassign their Medicare billing to Lifestream Behavioral Center Inc. 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 Nurse Practitioner (26), Clinical Social Worker (4) and Psychiatry (4). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifestream Behavioral Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1047592) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lifestream Behavioral Center Inc a Medicare-certified hospital?

Yes. Lifestream Behavioral Center is a Medicare-certified hospital (Psychiatric).

What insurance does Lifestream Behavioral Center Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 7 other insurers list Lifestream Behavioral Center Inc 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 Lifestream Behavioral Center Inc was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.