Lifestream Behavioral Center Inc - Medicare Mental Health Clinic in Leesburg, FL

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Lifestream Behavioral Center Inc is a medicare enrolled mental health clinic (Psychiatric Hospital) in Leesburg, Florida. The current practice location for Lifestream Behavioral Center Inc is 2020 Talley Rd, Leesburg, Florida. For appointments, you can reach them via phone at (352) 315-7800. The mailing address for Lifestream Behavioral Center Inc is Po Box 491000, Leesburg, Florida and phone number is (352) 315-7500.

Lifestream Behavioral Center Inc is licensed to practice in Florida (license number 4075). The clinic also participates in the medicare program and its NPI number is 1902802002. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (352) 315-7800.

Contact Information

Lifestream Behavioral Center Inc
2020 Talley Rd
Leesburg
FL 34748-3426
(352) 315-7800
(352) 315-6595

Map and Direction


Mental Health Clinic Profile

Full NameLifestream Behavioral Center Inc
SpecialityPsychiatric Hospital
Location2020 Talley Rd, Leesburg, Florida
Authorized Official Name and PositionCarol E Dozier (CFO)
Authorized Official Contact3523157532
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifestream Behavioral Center Inc
Po Box 491000
Leesburg
FL 34749-1000

Ph: (352) 315-7500		Lifestream Behavioral Center Inc
2020 Talley Rd
Leesburg
FL 34748-3426

Ph: (352) 315-7800

NPI Details:

NPI Number1902802002
Provider Enumeration Date06/23/2005
Last Update Date07/18/2012

Medicare PECOS Information:

Medicare PECOS PAC ID7012992720
Medicare Enrollment IDO20040618000512

Medical Identifiers

Medical identifiers for Lifestream Behavioral Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902802002NPI-NPPES
060334100MedicaidFL
151443OtherFLWELLCARE PROVIDER #
060334108MedicaidFL
060334102MedicaidFL
98270OtherFLBCBS OUTPATIENT NUMBER
E-83OtherFLBCBS INPATIENT NUMBER
024576301MedicaidFL
060334105MedicaidFL
360181100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
283Q00000XPsychiatric Hospital 4075 (Florida)Primary
323P00000XPsychiatric Residential Treatment Facility (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lifestream Behavioral Center Inc acts as a billing entity for following providers:
Provider NameLailatullah Burgos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285785428
PECOS PAC ID: 3274565692
Enrollment ID: I20050907000506
Provider NameSusan M Archacki-resnik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821258484
PECOS PAC ID: 1456495241
Enrollment ID: I20100217000333
Provider NameBrad J Broyles
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629033493
PECOS PAC ID: 1951580315
Enrollment ID: I20110201000286
Provider NamePraxides Mbakaya-chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700168085
PECOS PAC ID: 4789856147
Enrollment ID: I20111006000286
Provider NameThomas J Valente
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467416511
PECOS PAC ID: 8022281377
Enrollment ID: I20111101000558
Provider NameDavid A Dada
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558637363
PECOS PAC ID: 7911142567
Enrollment ID: I20130402000130
Provider NameMaryann E Simpson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417032780
PECOS PAC ID: 3779717343
Enrollment ID: I20131015000527
Provider NameMiguel A Correa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710198239
PECOS PAC ID: 9234035148
Enrollment ID: I20150113000674
Provider NameSherri A Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669711826
PECOS PAC ID: 3577889229
Enrollment ID: I20150224001409
Provider NameNancy E Shaw
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902125685
PECOS PAC ID: 4587983770
Enrollment ID: I20150511001493
Provider NameSarah L Yong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487918389
PECOS PAC ID: 9931343597
Enrollment ID: I20160215001006
Provider NameAmanda V Craig Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629436282
PECOS PAC ID: 3375841885
Enrollment ID: I20160418001114
Provider NameAbid B Darr
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871940783
PECOS PAC ID: 8628362514
Enrollment ID: I20160816002180
Provider NameScott G Berg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376090498
PECOS PAC ID: 9537448238
Enrollment ID: I20161121002552
Provider NameNageley J Michel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093258642
PECOS PAC ID: 1355622671
Enrollment ID: I20161228002231
Provider NameAdriana Bentum-tilus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801330519
PECOS PAC ID: 7012291198
Enrollment ID: I20170309001645
Provider NameNatasha Vernon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437490190
PECOS PAC ID: 2163708298
Enrollment ID: I20170404001103
Provider NameBarbara Gurgen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679927719
PECOS PAC ID: 0648545079
Enrollment ID: I20171010003378
Provider NameJulie M Conrad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639698822
PECOS PAC ID: 3971860818
Enrollment ID: I20171130000964
Provider NameYasmin Panjwani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194266080
PECOS PAC ID: 2163781584
Enrollment ID: I20180110002688
Provider NameLarhonda M Enslow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710473517
PECOS PAC ID: 5890030290
Enrollment ID: I20181212002628
Provider NameAndrea Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770070898
PECOS PAC ID: 8729327937
Enrollment ID: I20190306001780
Provider NameChantal Baptiste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851867766
PECOS PAC ID: 7911231246
Enrollment ID: I20190620001163
Provider NameSharon R Williamson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396767638
PECOS PAC ID: 9739592759
Enrollment ID: I20210113000851
Provider NameVicki Sattler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720674542
PECOS PAC ID: 9638582521
Enrollment ID: I20210114001111
Provider NameChrystal Shirley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639759764
PECOS PAC ID: 7214337013
Enrollment ID: I20210616001246
Provider NameTerri Ann Saunders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447724711
PECOS PAC ID: 7517350234
Enrollment ID: I20220201002637
Provider NameAnn Marie A Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801364377
PECOS PAC ID: 1759774698
Enrollment ID: I20220217000011
Provider NameEmma Markey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073135091
PECOS PAC ID: 3476931940
Enrollment ID: I20220613001134
Provider NameMeagan Symone Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902404726
PECOS PAC ID: 4880061928
Enrollment ID: I20221102003409
Provider NameSamuel O Battle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013635150
PECOS PAC ID: 9436527835
Enrollment ID: I20221116000120
Provider NameAltagrace K Souverain
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003533423
PECOS PAC ID: 0547630733
Enrollment ID: I20230104002033
Provider NameSusan Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306070701
PECOS PAC ID: 3779955042
Enrollment ID: I20230214003315
Provider NameMeredith A Ximines Mullings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972385102
PECOS PAC ID: 0648713875
Enrollment ID: I20240617001794
Provider NameDonald A Freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841075710
PECOS PAC ID: 9436504511
Enrollment ID: I20240819004102

Reviews and Comments

Psychiatric Hospital in Leesburg, FL

Kenneth Henschel, Md, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 10123 Us Highway 441, Leesburg, FL 34788
Phone: 352-901-6288    
Lindsay Campbell
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 32939 Merrill Rd, Leesburg, FL 34788
Phone: 352-636-9886    
Heart Ablaze Care Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1022 W North Blvd Ste 6, Leesburg, FL 34748
Phone: 877-225-2931    
Serenity Of Central Florida P.a.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1114 W Dixie Ave, Leesburg, FL 34748
Phone: 352-577-8197    Fax: 352-577-8741
Central Florida Psychological Consultants Inc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1114 W Dixie Ave, Leesburg, FL 34748
Phone: 352-365-2243    Fax: 352-365-2285
Fst Behavioral
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 606 S 9th St, Leesburg, FL 34748
Phone: 800-378-7597    
Alisa Grove Pa
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 4408 Bedford Way, Leesburg, FL 34748
Phone: 407-421-2031    Fax: 407-604-6497

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.