Active NPI
Dedrick Derrell Peyton, LMHC
- Mental Health Counselor
- Sanford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9391
- Practice address
- 722 Trade Way
Sanford, FL 32771-8657 - Phone
- (833) 769-3524
- NPI assigned
- Dec 14, 2011
- Last updated
- Mar 6, 2026
- Sex
- Male
- Sole proprietor
- No
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 | MH9391 | FL | Primary |
Addresses
Primary practice location
722 Trade Way
Sanford, FL 32771-8657
Mailing address
722 Trade Way
Sanford, FL 32771-8657
Phone (833) 769-3524
Other practice location 1
165 N 4th St
Lake Mary, FL 32746-2954
Phone (407) 704-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9391 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646
2400 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (754) 243-5650
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
722 Trade Way
Sanford, FL 32771
Phone (407) 863-4001
Interoperability endpoints
- fbh.dedrickpeyton@141363.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1225307606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 TRADE WAY",
"city": "SANFORD",
"state": "FL",
"postal_code": "327718657",
"telephone_number": "833-769-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 TRADE WAY",
"city": "SANFORD",
"state": "FL",
"postal_code": "327718657",
"telephone_number": "833-769-3524"
}
],
"practiceLocations": [
{
"address_1": "165 N 4th St",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327462954",
"country_code": "US",
"telephone_number": "407-704-0370",
"fax_number": "877-546-7604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEYTON",
"first_name": "DEDRICK",
"middle_name": "DERRELL",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.