Active NPI
Lillian Phelps
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1396690210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 29085
- Practice address
- 414 Lake Howell Rd
Maitland, FL 32751-5900 - Phone
- (407) 637-2633
- NPI assigned
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 29085 | FL | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29085 | FL | |
| Counselor | 101Y00000X | 29085 | FL |
Addresses
Primary practice location
414 Lake Howell Rd
Maitland, FL 32751-5900
Mailing address
2751 E County Line Rd Ste 313
Lutz, FL 33559-3439
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29085 | FL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change in Motion | Mental Health | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Winter Park, FL
- NPI 1821469396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1396690210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 E COUNTY LINE RD STE 313",
"city": "LUTZ",
"state": "FL",
"postal_code": "335593439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 LAKE HOWELL RD",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515900",
"telephone_number": "407-637-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "LILLIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-04",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "29085",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "29085",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "29085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.