Active NPI
Fabian B Forero, MS
- Mental Health Counselor
- Deltona, FL
National Provider Identifier
1750858841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 517 Deltona Blvd Ste a
Deltona, FL 32725-8016 - Phone
- (386) 259-5413
- NPI assigned
- Oct 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
517 Deltona Blvd Ste a
Deltona, FL 32725-8016
Mailing address
517 Deltona Blvd Ste a
Deltona, FL 32725-8016
Phone (386) 259-5413
Other practice location 1
600 N Thacker Ave Ste 58
Kissimmee, FL 34741-4892
Phone (407) 579-5684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750858841 | Medicaid | FL |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle of Friends Services Inc | Past | Accepting new patients | |
| Florida United Methodist Childrens Home, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Deltona, FL
- NPI 1467691873
-
- Community/Behavioral Health Agency
- Deltona, FL
- NPI 1245863331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548460800000",
"number": "1750858841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 DELTONA BLVD STE A",
"city": "DELTONA",
"state": "FL",
"postal_code": "327258016",
"telephone_number": "386-259-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 DELTONA BLVD STE A",
"city": "DELTONA",
"state": "FL",
"postal_code": "327258016",
"telephone_number": "386-259-5413"
}
],
"practiceLocations": [
{
"address_1": "600 N Thacker Ave Ste 58",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414892",
"country_code": "US",
"telephone_number": "407-579-5684",
"fax_number": "651-602-3634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORERO",
"first_name": "FABIAN",
"middle_name": "B",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-27",
"last_updated": "2019-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750858841",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.