Individual provider Active NPI

Stephanie Nunez, LMHC

  • Mental Health Counselor
  • Port Saint Lucie, FL
National Provider Identifier
1073056792
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
M635-781-93-724-0 Issued in FL
Practice address
1860 SW Fountainview Blvd Ste 100
Port Saint Lucie, FL 34986-4528
Phone
(772) 405-7419
NPI assigned
Nov 29, 2016
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X M635-781-93-724-0 FL Primary

Addresses

Primary practice location

1860 SW Fountainview Blvd Ste 100
Port Saint Lucie, FL 34986-4528

Mailing address

1860 SW Fountainview Blvd
Port Saint Lucie, FL 34986-4535
Phone (772) 405-7419

Other names 1

  • Stephanie Martinez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1573 SW Merchant LN
Port Saint Lucie, FL 34953-4155

540 NW University Blvd
Suite 204
Port St Lucie, FL 34986-2281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1073056792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "772-405-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 100",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864528",
            "telephone_number": "772-405-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "STEPHANIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "M635-781-93-724-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.