IndividualActive
Lisa Fedewa
NPI 1265776454 · Counselor · Daytona Beach, FL
Lisa Fedewa is a Counselor provider in Daytona Beach, FL (NPI 1265776454).
Provider details
- NPI number
- 1265776454
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
259 Bill France Blvd
Suite 200
Daytona Beach, FL 32114-1316
Phone: (904) 586-6560
Street-level locationGet directions
Mailing address
1955 Leap Frog Ln
Middleburg, FL 32068-9095
Registry dates
- Enumerated
- 2012-11-12
- Last updated
- 2014-08-05
Frequently asked questions
- What is Lisa Fedewa's NPI number?
- Lisa Fedewa's National Provider Identifier (NPI) is 1265776454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Fedewa's specialty?
- Lisa Fedewa is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Lisa Fedewa located?
- Lisa Fedewa's practice location on file with NPPES is 259 Bill France Blvd, Daytona Beach, FL 32114-1316.
- What is Lisa Fedewa's phone number?
- The practice phone number listed in the NPPES registry for Lisa Fedewa is (904) 586-6560.
- Is Lisa Fedewa's NPI active?
- Yes — Lisa Fedewa's NPI (1265776454) is active in the NPPES registry as of the last update on 2014-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.