WISE FUTURE GROUP SUPPORT SERVICES, LLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1770181638
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WISE FUTURE GROUP SUPPORT SERVICES, LLC
2307 GREENWILLOW DR
ORLANDO, FL 328257572
Phone: (407) 508-7374
Type: Mailing
2205 Cluster Oak Dr Ste D
Clermont, FL 347116747
Phone: (407) 202-9440
Type: Location
815 Mabbette St Ste B
Kissimmee, FL 347415111
Phone: (321) 391-2543
Type: Location
10244 E COLONIAL DR STE 110
ORLANDO, FL 328174365
Phone: (407) 202-9440
Fax: (407) 203-4710
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: 2023-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20230425001633 | O | Clinic/Group Practice | FL | TBD |
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.
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 32825)
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