NPIMap

Organization Active NPI

Family Counseling Center of Brevard Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cocoa, FL
National Provider Identifier
1003876400
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY COUNSELING CENTER OF BREVARD INC
Practice address
505 Brevard Ave
Suite 106
Cocoa, FL 32922-7973
Phone
(321) 632-5792
Fax
(321) 632-5796
NPI assigned
Mar 28, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mrs. Lori L Parsons, PSY DNPI 1619117579
Title
President/Ceo
Phone
(321) 632-5972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X FL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X FL Primary

Addresses

Primary practice location

505 Brevard Ave
Suite 106
Cocoa, FL 32922-7973

Mailing address

505 Brevard Ave
Suite 106
Cocoa, FL 32922-7973
Phone (321) 632-5792

Other identifiers 6

IdentifierTypeStateIssuer
275892OtherFLWELLCARE
285955OtherFLAMERIGROUP
Z067ROtherFLBLUE CROSS BLUE SHIELD
060332500MedicaidFL
060332502MedicaidFL
X0461OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

505 Brevard Ave
Ste 106
Cocoa, FL 32922
Phone (321) 632-5792

220 Coral Sands Dr
Rockledge, FL 32955
Phone (321) 632-5792

840 Brevard Ave
Rockledge, FL 32955
Phone (321) 632-5792

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1003876400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BREVARD AVE",
            "address_2": "SUITE 106",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227973",
            "telephone_number": "321-632-5792",
            "fax_number": "321-632-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BREVARD AVE",
            "address_2": "SUITE 106",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227973",
            "telephone_number": "321-632-5792",
            "fax_number": "321-632-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER OF BREVARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "321-632-5972",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "275892",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "285955",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z067R",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060332500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060332502",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X0461",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.