Stephanie Ann Gilliam

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH26441 Issued in FL

Practice address

1592 Carriage Brooke Dr
Wellington, FL 33414-6120

Phone

(405) 210-8184

NPI assigned

Sep 23, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1033081575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 CARRIAGE BROOKE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146120",
            "telephone_number": "405-210-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 CARRIAGE BROOKE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146120",
            "telephone_number": "405-210-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Gerville, R T R ARRT
• David S Gibbons, D.O.
• Rose Gibbs
• Gifted Hands Healthcare Services LLC
• Mark Anthony Gigliobianco, D.O.
• Alice Anne Gilsinan, LMFT
• Gina M Harris PHD PA
• Kristen Marie Gioletti
• Claudia Maria Giovanelli Porrata, MD, MPH
• Michael Girgis, MD

• Mental Health Counselor in Wellington, FL
• Providers in Wellington, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.