OrganizationActive
Lake Mary Psychiatry and Counseling LLC
NPI 1124456587 · Psychiatry Physician · Lake Mary, FL
Provider details
- NPI number
- 1124456587
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Krotenberg, Managing Member(407) 324-0405
- License
- OS4985 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 Waymont Ct
Ste 111
Lake Mary, FL 32746-3566
Phone: (407) 324-0405
Fax: (407) 324-0075
Street-level locationGet directions
Mailing address
Po Box 951468
Lake Mary, FL 32795-1468
Registry dates
- Enumerated
- 2013-10-23
- Last updated
- 2013-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.