Individual provider Active NPI

Preston Pinson, LMHC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1093115644
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019524900MedicaidFL
1OtherFLMENTAL 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

LicenseStateTypeSpecialty
MH17276FLMDProfessional Counselor
16-20955FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.