Individual provider Active NPI

Emily Jaye Like Schuleman, LMHC

  • Mental Health Counselor
  • Cocoa, FL
National Provider Identifier
1114465523
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
505 Brevard Ave Ste 106
Cocoa, FL 32922-7973
Phone
(321) 632-5792
NPI assigned
Feb 6, 2017
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X MH16201 FL
Community/Behavioral Health Agency 251S00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

505 Brevard Ave Ste 106
Cocoa, FL 32922-7973

Mailing address

505 Brevard Ave Ste 106
Cocoa, FL 32922-7973
Phone (321) 632-5792

Other identifiers 1

IdentifierTypeStateIssuer
1114465523MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240712001704 MN Practitioner - Mental Health Counselor 0345785408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Secure Base Counseling Center LLCGroup PAC ID 8628409299, 22 clinicians

Practice addresses (Care Compare)

570 Professional Dr
Northfield, MN 55057-2756
Phone (507) 301-3412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16201FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Els Counseling Services Mental Health Current Accepting new patients
Secure Base Counseling Center LLC CurrentSince Jun 1, 2024 Accepting new patients
Cfsatc, Inc. Community/Behavioral Health Past Accepting new patients

Locations

213 1st St
Farmington, MN 55024
Phone (507) 301-3412

301 Main St E
New Prague, MN 56071
Phone (612) 758-4431

570 Professional Dr
Northfield, MN 55057
Phone (507) 301-3412

Organizations & group practices 3

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1114465523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BREVARD AVE STE 106",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227973",
            "telephone_number": "321-632-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BREVARD AVE STE 106",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227973",
            "telephone_number": "321-632-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKE SCHULEMAN",
        "first_name": "EMILY",
        "middle_name": "JAYE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH16201",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114465523",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.