Active NPI
Brenda Lee Stewart, LMHC, NCC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1003489105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18667
- Practice address
- 5931 Brick CT Ste 130
Winter Park, FL 32792-9411 - Phone
- (407) 801-9029
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH18667 | FL | Primary |
Addresses
Primary practice location
5931 Brick CT Ste 130
Winter Park, FL 32792-9411
Mailing address
1800 Pembrook Dr # 300-1272
Orlando, FL 32810-6928
Phone (407) 955-9774
Other names 1
- Brenda Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH18667 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Therapy Associates | Mental Health | Current | Accepting new patients |
Locations
1800 Pembrook Dr
Orlando, FL 32810
Phone (954) 842-1641
5931 Brick Ct
Ste 130
Winter Park, FL 32792
Phone (407) 801-9029
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Winter Park, FL
- NPI 1578289492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1003489105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PEMBROOK DR # 300-1272",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328106928",
"telephone_number": "407-955-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5931 BRICK CT STE 130",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327929411",
"telephone_number": "407-801-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "BRENDA",
"middle_name": "LEE",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "STEWART",
"credential": "LMHC, NCC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.