Individual provider Active NPI

Shaharazad Benejam, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1952745267
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17465 Issued in FL
Practice address
1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785
Phone
(407) 382-9079
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X MH17465 FL Primary

Addresses

Primary practice location

1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785

Mailing address

1315 Clove Dr
Kissimmee, FL 34759-5407
Phone (863) 242-4067

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
I20260515002218 FL Practitioner - Mental Health Counselor 2668941972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1707 Orlando Central Pkwy
Suite 480
Orlando, FL 32809-5759

625 N Delmonte CT
Kissimmee, FL 34758-3212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17465FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Family Counseling Inc CurrentSince Apr 29, 2026 Accepting new patients

Locations

1012 Emmett St
Kissimmee, FL 34741
Phone (877) 583-8439

1707 Orlando Central Pkwy
Ste 480
Orlando, FL 32809
Phone (321) 337-8225

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1952745267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CLOVE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347595407",
            "telephone_number": "863-242-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ORLANDO CENTRAL PKWY STE 480",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095785",
            "telephone_number": "407-382-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEJAM",
        "first_name": "SHAHARAZAD",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.