ROBERTA LEAH CAVIN (MS, LMHC) – Mental Health Counselor, NPI 1104391101

ROBERTA LEAH CAVIN (MS, LMHC) is a healthcare provider. based in Holly hill, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LMHC. They hold a License No. MH18437 (FL). The NPI Number for ROBERTA LEAH CAVIN (MS, LMHC) is 1104391101

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTA LEAH CAVIN (MS, LMHC)
NPI
1104391101
Phone
(407) 415-8908
Address
1229 HOLLY AVE
Enumeration Date
5 October 2018
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862581618
Graduation Year
2014 (12 years ago)
PAC ID
1153774369
Group Practice PAC ID
8325370950
Professional Enrollment ID
I20240124001437
Address ID
FL327203429DE121XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for ROBERTA LEAH CAVIN (MS, LMHC)

  • 1229, Holly Avenue, Holly Hill, Volusia County, Florida, 32117, United States

    HOLLY HILL, FL 321172715

    Phone: (407) 415-8908

    Type: Mailing

  • 430, Braddock Avenue, Daytona Beach, Volusia County, Florida, 32118, United States

    DAYTONA BEACH, FL 321184616

    Phone: (407) 415-8908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240124001437IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325370950View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerFL
-RI
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Is there an official ID for ROBERTA LEAH CAVIN (MS, LMHC) in U.S. healthcare records?
The official identifier for ROBERTA LEAH CAVIN (MS, LMHC) is NPI 1104391101.
Is ROBERTA LEAH CAVIN (MS, LMHC) shown as active in public data?
Registry records indicate ROBERTA LEAH CAVIN (MS, LMHC) maintains an active NPI.
What area of care is associated with ROBERTA LEAH CAVIN (MS, LMHC)?
ROBERTA LEAH CAVIN (MS, LMHC)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is ROBERTA LEAH CAVIN (MS, LMHC) located near Holly Hill?
ROBERTA LEAH CAVIN (MS, LMHC) currently maps to Holly Hill, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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