Individual provider Active NPI

Fauzia Debbie Adeyemo

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1548923758
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24277 Issued in FL
Practice address
3222 Corrine Dr Ste J
Orlando, FL 32803-2217
Phone
(407) 928-0097
NPI assigned
Oct 15, 2021
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH24277 FL Primary

Addresses

Primary practice location

3222 Corrine Dr Ste J
Orlando, FL 32803-2217

Mailing address

5477 Timberleaf Blvd Apt 1111
Orlando, FL 32811-2161
Phone (407) 928-0097

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
I20241016002446 FL Practitioner - Mental Health Counselor 5193257053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH24277FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 19, 2025 Accepting new patients
Healing Psychiatry of Florida Inc CurrentSince Sep 23, 2024 Accepting new patients
Optimal Wellbeing Counseling, LLC Mental Health Current Accepting new patients
North Star Counseling of Central Florida, LLC. Mental Health PastSince Mar 6, 2022 Accepting new patients

Locations

108 W Citrus St
Altamonte Springs, FL 32714
Phone (321) 972-9215

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1495 S Volusia Ave
Ste 203
Orange City, FL 32763
Phone (386) 218-6335

3222 Corrine Dr
Ste J
Orlando, FL 32803
Phone (407) 680-2912

Organizations & group practices 4

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1548923758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 TIMBERLEAF BLVD APT 1111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112161",
            "telephone_number": "407-928-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 CORRINE DR STE J",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032217",
            "telephone_number": "407-928-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "FAUZIA",
        "middle_name": "DEBBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.