Individual provider Active NPI

Brenda S Faiber, MS,LMFT

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1760692958
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT805 Issued in FL
Practice address
801 N Magnolia Ave Ste 402
Orlando, FL 32803-3844
Phone
(407) 963-5664
NPI assigned
May 23, 2007
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT805 FL Primary

Addresses

Primary practice location

801 N Magnolia Ave Ste 402
Orlando, FL 32803-3844

Mailing address

455 Douglas Ave Ste 2155-7
Altamonte Springs, FL 32714-2528
Phone (407) 869-6634

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
I20240530000911 FL Practitioner - Marriage and Family Therapist 7416399837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindy Staum LCSW PAGroup PAC ID 5890952998, 16 clinicians

Practice addresses (Care Compare)

5421 N University Dr
Suite 102
Coral Springs, FL 33067-4638
Phone (732) 580-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MT805FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy Staum, LCSW, P.a CurrentSince Oct 26, 2025 Accepting new patients

Locations

5421 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (732) 580-8383

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, 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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1760692958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 DOUGLAS AVE STE 2155-7",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142528",
            "telephone_number": "407-869-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033844",
            "telephone_number": "407-963-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIBER",
        "first_name": "BRENDA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MS,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.