OrganizationActive
Alive & Well Corp
NPI 1295245520 · Mental Health Counselor · Clermont, FL
Provider details
- NPI number
- 1295245520
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mellissa Jagrup, Proprieter(813) 748-2912
- License
- MH9648 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
10344 Vista Pines Loop
Clermont, FL 34711-9172
Phone: (813) 748-2912
Street-level locationGet directions
Mailing address
Po Box 120682
Clermont, FL 34712-0682
Registry dates
- Enumerated
- 2017-09-29
- Last updated
- 2017-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.