Active NPI
Linda D Fegan, LMHC
- Mental Health Counselor
- Longwood, FL
National Provider Identifier
1962452946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2909 W State Road 434
Suite 111
Longwood, FL 32779-4459 - Phone
- (407) 869-0132
- Fax
- (407) 774-9329
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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
2909 W State Road 434
Suite 111
Longwood, FL 32779-4459
Mailing address
1718 Blackmon CT
Longwood, FL 32779-4783
Phone (407) 869-0132
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Peter Blitchington, PH.D. | Past | 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.
-
- Cognitive & Behavioral Psychologist
- Longwood, FL
- NPI 1427463850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1962452946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 BLACKMON CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794783",
"telephone_number": "407-869-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 W STATE ROAD 434",
"address_2": "SUITE 111",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794459",
"telephone_number": "407-869-0132",
"fax_number": "407-774-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEGAN",
"first_name": "LINDA",
"middle_name": "D",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.