Active NPI
Preston Pinson, LMHC
- Mental Health Counselor
- Melbourne, FL
National Provider Identifier
1093115644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 400 East Sheridan Rd
Melbourne, FL 32901 - Phone
- (321) 722-5200
- NPI assigned
- Sep 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | MH17276 | FL | |
| Behavior Technician | 106S00000X | 16-20955 | FL |
Addresses
Primary practice location
400 East Sheridan Rd
Melbourne, FL 32901
Mailing address
7681 Greenboro Dr
Melbourne, FL 32904-1669
Phone (901) 485-5127
Other practice location 1
305 East Dr
Suite L
Melbourne, FL 32904-1033
Phone (321) 345-0861
Other practice location 2
475 S John Rodes Blvd
Melbourne, FL 32904-1093
Phone (321) 241-1170
Other practice location 3
7681 Greenboro Dr
Melbourne, FL 32904-1669
Phone (901) 485-5127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019524900 | Medicaid | FL | |
| 1 | Other | FL | MENTAL HEALTH COUNSELING |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH17276 | FL | MD | Professional Counselor |
| 16-20955 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preston Pinson Counseling | Mental Health | Past | Accepting new patients |
| The Sonder Academy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Titusville, FL
- NPI 1619502515
-
- Behavior Analyst
- Melbourne, FL
- NPI 1023549680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1093115644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7681 GREENBORO DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329041669",
"telephone_number": "901-485-5127",
"fax_number": "321-241-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST SHERIDAN RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-722-5200"
}
],
"practiceLocations": [
{
"address_1": "305 East Dr",
"address_2": "Suite L",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329041033",
"country_code": "US",
"telephone_number": "321-345-0861",
"fax_number": "321-745-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 S John Rodes Blvd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329041093",
"country_code": "US",
"telephone_number": "321-241-1170",
"fax_number": "321-241-1171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7681 Greenboro Dr",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329041669",
"country_code": "US",
"telephone_number": "901-485-5127",
"fax_number": "321-241-1171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINSON",
"first_name": "PRESTON",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH17276",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "16-20955",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019524900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELING",
"identifier": "1",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.