Individual provider Active NPI

Marilyn Hart Fair, LMHC, MAC, CFM

  • Addiction (Substance Use Disorder) Counselor
  • Lake Mary, FL
National Provider Identifier
1245395854
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP333 Issued in FL
Practice address
305 Waymont CT
Suite 111
Lake Mary, FL 32746-3566
Phone
(407) 322-2330
Fax
(407) 324-0075
NPI assigned
Dec 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP333 FL Primary
Mental Health Counselor 101YM0800X MH0002711 FL

Addresses

Primary practice location

305 Waymont CT
Suite 111
Lake Mary, FL 32746-3566

Mailing address

305 Waymont CT
Suite 111
Lake Mary, FL 32746-3566
Phone (407) 322-2330

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

State licenses

LicenseStateTypeSpecialty
CAP333FLMDAddiction (Substance Use Disorder) Counselor
MH0002711FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Mary Psychiatry and Counseling LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245395854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WAYMONT CT",
            "address_2": "SUITE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463566",
            "telephone_number": "407-322-2330",
            "fax_number": "407-324-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WAYMONT CT",
            "address_2": "SUITE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463566",
            "telephone_number": "407-322-2330",
            "fax_number": "407-324-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "MARILYN",
        "middle_name": "HART",
        "name_prefix": "Ms.",
        "credential": "LMHC, MAC, CFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP333",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0002711",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.