Individual provider Active NPI

Brandy King Schafer, MS, LMHC, REAT, NCC

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1033610522
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH16011 Issued in FL
Practice address
122 N 4TH St Ste 2022
Lake Mary, FL 32746-2944
Phone
(407) 502-0189
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 IMH16011 FL Primary

Addresses

Primary practice location

122 N 4TH St Ste 2022
Lake Mary, FL 32746-2944

Mailing address

445 Autumn Oaks PL
Lake Mary, FL 32746-4848
Phone (407) 502-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH16011FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Expressionists Creative Counseling, LLC Mental Health CurrentSince Feb 23, 2020 Accepting new patients

Locations

122 N 4th St
Ste 2022
Lake Mary, FL 32746
Phone (407) 502-0189

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1033610522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 AUTUMN OAKS PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464848",
            "telephone_number": "407-502-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 4TH ST STE 2022",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462944",
            "telephone_number": "407-502-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "BRANDY",
        "middle_name": "KING",
        "credential": "MS, LMHC, REAT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH16011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.