Individual provider Active NPI

Deedra Conrad, LMHC

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1508424292
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7523 Issued in FL
Practice address
1701 NE 42ND Ave Ste 301
Ocala, FL 34470-8026
Phone
(352) 290-8560
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7523 FL Primary

Addresses

Primary practice location

1701 NE 42ND Ave Ste 301
Ocala, FL 34470-8026

Mailing address

5500 SE 44TH Cir
Ocala, FL 34480-4920
Phone (352) 229-4851

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707002910 FL Practitioner - Mental Health Counselor 4284148867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7523FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Families First of Florida LLC Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Families First of Florida, LLC PastSince Aug 8, 2021 Accepting new patients

Locations

4902 Eisenhower Blvd
Ste 315
Tampa, FL 33634

Organizations & group practices 2

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1508424292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SE 44TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344804920",
            "telephone_number": "352-229-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NE 42ND AVE STE 301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344708026",
            "telephone_number": "352-290-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "DEEDRA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "7523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.