Individual provider Active NPI

Fay Gershman, RMHCI

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1801497540
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH25976 Issued in FL
Practice address
1155 Louisiana Ave Ste 216
Winter Park, FL 32789-2351
Phone
(407) 594-7511
NPI assigned
Nov 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 IMH25976 FL Primary

Addresses

Primary practice location

1155 Louisiana Ave Ste 216
Winter Park, FL 32789-2351

Mailing address

1155 Louisiana Ave Ste 216
Winter Park, FL 32789-2351
Phone (407) 594-7511

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

LicenseStateTypeSpecialty
IMH25976FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Purpose Counseling Services, PLLC Mental Health PastSince Jun 16, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1801497540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 LOUISIANA AVE STE 216",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892351",
            "telephone_number": "407-594-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LOUISIANA AVE STE 216",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892351",
            "telephone_number": "407-594-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHMAN",
        "first_name": "FAY",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.