Freedah Destiny Exavier, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19949 Issued in FL

Practice address

1601 NE Braille PL
Jensen Beach, FL 34957-5345

Phone

(561) 906-4743

Fax

(772) 444-3735

NPI assigned

Dec 8, 2014

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1356749303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SW BYRON ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831922",
            "telephone_number": "561-906-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NE BRAILLE PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575345",
            "telephone_number": "561-906-4743",
            "fax_number": "772-444-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXAVIER",
        "first_name": "FREEDAH",
        "middle_name": "DESTINY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Clinical Services
• Stephen Ellis, PHARMD
• Dawn M. Erdwein, APRN, CNM
• Elizabeth Whitty Ernst, SLP
• Everydaydoctor Inc
• Eye Care Vision Group P.a.
• Caron Faherty, O.T.
• Family Dentistry of Jensen Beach PLLC (Family Dentistry of Jensen Beach)
• Family First Physician Services LLC
• Family First Physician Services LLC

• Mental Health Counselor in Jensen Beach, FL
• Providers in Jensen Beach, 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 Nov 26, 2024; 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.