Individual provider Active NPI

Stephanie Ann Rasbach, M.A M.S. BCBA, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1093017501
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20409 Issued in FL
Practice address
225 S Swoope Ave Ste 211
Maitland, FL 32751-5786
Phone
(407) 622-0444
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7662
Mental Health Counselor 101YM0800X MH20409 FL Primary

Addresses

Primary practice location

225 S Swoope Ave Ste 211
Maitland, FL 32751-5786

Mailing address

274 E Eau Gallie Blvd # 230
Indian Harbour Beach, FL 32937-4874
Phone (407) 421-9993

Other practice location 1

550 Saint Johns Street
Cocoa, FL 32922
Phone (321) 639-9800

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20409FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1093017501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 E EAU GALLIE BLVD # 230",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374874",
            "telephone_number": "407-421-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S SWOOPE AVE STE 211",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515786",
            "telephone_number": "407-622-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Saint Johns Street",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "32922",
            "country_code": "US",
            "telephone_number": "321-639-9800",
            "fax_number": "321-639-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASBACH",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A M.S. BCBA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-7662",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.