FAMILY COUNSELING CENTER OF BREVARD INC (NPI# 1003876400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003876400 |
| Entity Type | Organization |
| Organization Name | FAMILY COUNSELING CENTER OF BREVARD INC |
| Practice Address |
505 Brevard Ave Suite 106 Cocoa FL 32922-7973 |
| Practice Telephone | 3216325792 |
| Practice Fax Number | 3216325796 |
| Mailing Telephone | 3216325792 |
| Mailing Fax Number | 3216325796 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | MRS. LORI L PARSONS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3216325972 |
| Authorized Official Credential | PSY D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
FL | Behavioral Health & Social Service Providers | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERIGROUP | 285955 | 01 |
| FL | BLUE CROSS BLUE SHIELD | Z067R | 01 |
| FL | WELLCARE | 275892 | 01 |
| FL | 060332500 | 05 | |
| FL | 060332502 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | X0461 | 01 |
| Street Address |
505 BREVARD AVE SUITE 106 |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952841728 | Charla Belflower | Counselor | 505 Brevard Ave, 106, Cocoa, FL 32922-7973 | 2017-02-27 |
| 1477091031 | Elizabeth Wester | Social Worker | 505 Brevard Ave, Ste 106, Cocoa, FL 32922-7973 | 2017-02-03 |
| 1730627456 | Amanda D Stephens | Counselor | 505 Brevard Ave, Cocoa, FL 32922-7973 | 2017-02-01 |
| 1336533124 | Saffrone G Emerson | Counselor | 505 Brevard Ave, Suite 106, Cocoa, FL 32922-7973 | 2015-03-19 |
| 1942628359 | Laurie Paquette | Psychologist | 505 Brevard Ave, 106, Cocoa, FL 32922-7973 | 2014-04-02 |
| 1154689693 | Elizabeth R Nyberg | Counselor | 505 Brevard Ave, 106, Cocoa, FL 32922-7973 | 2012-05-02 |
| 1215245311 | Tracy A Portz | Social Worker | 505 Brevard Ave, 106, Cocoa, FL 32922-7973 | 2010-09-23 |
| 1619117579 | Lori Parsons | Psychologist | 505 Brevard Ave, 106, Cocoa, FL 32922-7973 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.