Individual provider Active NPI

Brenda Lee Stewart, LMHC, NCC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1003489105
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18667 Issued in FL
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

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
MH18667FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Therapy Associates Mental Health CurrentSince Oct 16, 2022 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.

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

Verify at the official NPI Registry.