ALIA KHEDEROO LMHC
NPI 1922408939
Counselor - Mental Health in Orlando, FL

Q: What is Alia Khederoo's NPI number?

The NPI number for Alia Khederoo is 1922408939. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Q: What is Alia Khederoo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Alia Khederoo was last updated on March 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2014PECOS Enrolled

6000 LAKE ELLENOR DR, ORLANDO, FL 32809(407) 613-5555 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Aug 22, 2023 (2 updates tracked since 2023).

On this page

About Alia Khederoo Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALIA KHEDEROO LMHC (NPI 1922408939) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH22639) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922408939

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALIA KHEDEROOCredential: LMHC

Location Address6000 LAKE ELLENOR DROrlando, FL 32809-4615

Mailing Address4575 Se Dixie HwyStuart, FL 34997-6826 · (855) 832-6727 · Fax (772) 675-9100

Phone(407) 613-5555

Sole ProprietorYes

Enumeration DateAugust 27, 2014

Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1922408939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH22639

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License MH22639 (FL)

6000 LAKE ELLENOR DR, Orlando, FL 32809

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alia Khederoo Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DARLENE KAY FRITSMA ARNP

Nurse Practitioner (Adult Health)