Individual provider Active NPI

Juline Allen, M.S, LMHC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1043448947
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23827 Issued in FL
Practice address
152 N Harbor City Blvd Ste 100
Melbourne, FL 32935-6794
Phone
(321) 209-1299
Fax
(321) 517-2900
NPI assigned
Jun 30, 2009
Reactivated
May 23, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23827 FL Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

152 N Harbor City Blvd Ste 100
Melbourne, FL 32935-6794

Mailing address

152 N Harbor City Blvd #100
West Melbourne, FL 32904-3661
Phone (321) 209-1299

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
I20240625001840 FL Practitioner - Mental Health Counselor 9436692985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

152 N Harbor City Blvd
Suite 100
Melbourne, FL 32935-6794
Phone (321) 209-1299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH23827FLMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1043448947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N HARBOR CITY BLVD #100",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043661",
            "telephone_number": "321-209-1299",
            "fax_number": "321-517-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356794",
            "telephone_number": "321-209-1299",
            "fax_number": "321-517-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JULINE",
        "credential": "M.S, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-30",
        "deactivation_date": "2024-04-12",
        "reactivation_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23827",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.