Individual provider Active NPI

Debra Brandt

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1982609277
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW2761 Issued in FL
Practice address
595 W Granada Blvd
Ste H
Ormond Beach, FL 32174-5182
Phone
(386) 673-9800
Fax
(386) 673-1111
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW2761 FL
Mental Health Counselor 101YM0800X SW2761 FL Primary

Addresses

Primary practice location

595 W Granada Blvd
Ste H
Ormond Beach, FL 32174-5182

Mailing address

PO Box 731164
Ormond Beach, FL 32173-1164

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
I20060817000012 FL Practitioner - Clinical Social Worker 0244233039 Practice locations: Ormond Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

349 Tropical LN
Ormond Beach, FL 32174-6252
Phone (386) 673-9800

595 W Granada Blvd
Ste. H
Ormond Beach, FL 32174-1154
Phone (386) 673-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982609277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731164",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321731164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "STE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745182",
            "telephone_number": "386-673-9800",
            "fax_number": "386-673-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2761",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW2761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.