Active NPI
Famous Erwin
- Mental Health Counselor
- Vero Beach, FL
National Provider Identifier
1710246574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15574
- Practice address
- 601 21St St
Vero Beach, FL 32960-0801 - Phone
- (772) 633-5350
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC8600 | ID | |
| Mental Health Counselor | 101YM0800X | 15574 | FL | Primary |
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | LCPC012444 | GA |
Addresses
Primary practice location
601 21St St
Vero Beach, FL 32960-0801
Mailing address
PO Box 2622
Vero Beach, FL 32961-2622
Phone (772) 985-4941
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 |
|---|---|---|---|
| 15574 | FL | MD | Mental Health Counselor |
| LCPC8600 | ID | MD | Mental Health Counselor |
| LCPC012444 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Fulfilled Life International | Mental Health | Current | Accepting new patients |
| Suncoast Mental Health Center, Inc. | Past | Accepting new patients |
Locations
3150 Cardinal Dr
Vero Beach, FL 32963
Phone (386) 847-6435
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.
-
- Mental Health Counselor
- Vero Beach, FL
- NPI 1215590369
-
- Community/Behavioral Health Agency
- Fort Pierce, FL
- NPI 1225046550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1710246574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2622",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329612622",
"telephone_number": "772-985-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 21ST ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329600801",
"telephone_number": "772-633-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERWIN",
"first_name": "FAMOUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC8600",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "15574",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LCPC012444",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.