Individual provider Active NPI

Candace Brown, LMFT

  • Counselor
  • Orlando, FL
National Provider Identifier
1962958876
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2813 S Hiawassee Rd Ste 301
Orlando, FL 32835-6690
Phone
(321) 209-8219
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2813 S Hiawassee Rd Ste 301
Orlando, FL 32835-6690

Mailing address

412 Ashbourne Dr
Orlando, FL 32835-6822
Phone (407) 970-7098

Other practice location 1

1975 S John Young Pkwy
#203A
Kissimmee, FL 34741-0603
Phone (321) 236-1540

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

OrganizationSpecialtyStatusNew patients
Victorious Living Counseling and Consulting LLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

2813 S Hiawassee Rd
Ste 301
Orlando, FL 32835
Phone (321) 209-8219

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1962958876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ASHBOURNE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356822",
            "telephone_number": "407-970-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 S HIAWASSEE RD STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356690",
            "telephone_number": "321-209-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 S John Young Pkwy",
            "address_2": "#203A",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347410603",
            "country_code": "US",
            "telephone_number": "321-236-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CANDACE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.