MEDICARE: NERILYN ROSARIO LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH25636	FL

General Provider Information

NPI Number	:	1134462948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NERILYN ROSARIO LMHC

Provider Business Mailing Address
First Line	:	1573 W FAIRBANKS AVE STE 100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-896-8097
Fax Number	:	407-898-8328

Provider Business Practice Location Address
First Line	:	1573 W FAIRBANKS AVE STE 100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-896-8097
Fax Number	:	407-898-8328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	02/16/2026

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