DESTINY S LYALS (LMHC) – Mental Health Counselor, NPI 1861227415

DESTINY S LYALS (LMHC) is a healthcare provider. based in Wildwood, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. MH24195 (FL). The NPI Number for DESTINY S LYALS (LMHC) is 1861227415

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DESTINY S LYALS (LMHC)
NPI
1861227415
Phone
(352) 461-6185
Address
6941 POWELL RD
Enumeration Date
4 September 2024
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392232751
Graduation Year
2018 (8 years ago)
PAC ID
2264968577
Group Practice PAC ID
2860619632
Professional Enrollment ID
I20241210003998
Address ID
FL326054261GA1131XTERX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for DESTINY S LYALS (LMHC)

  • 6941 POWELL RD

    WILDWOOD, FL 347854247

    Phone: (352) 461-6185

    Type: Mailing

  • 1131 NW 64TH TER STE A

    GAINESVILLE, FL 326054261

    Phone: (396) 906-9062

    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: 2024-12-10

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
I20241210003998IMental 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 34785)

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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: 2860619632View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
Clinical Social WorkerIN
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to DESTINY S LYALS (LMHC)?
NPI 1861227415 is assigned to DESTINY S LYALS (LMHC) under the national enumeration system.
Does this profile mean DESTINY S LYALS (LMHC) is currently active?
Yes — DESTINY S LYALS (LMHC) appears active in the national provider directory.
Can you summarize DESTINY S LYALS (LMHC)'s specialty in plain language?
Clinically, the directory lists DESTINY S LYALS (LMHC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for DESTINY S LYALS (LMHC)?
We surface Wildwood, Florida for DESTINY S LYALS (LMHC) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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