Bayside Family Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BAYSIDE FAMILY COUNSELING LLC

Practice address

1890 Hallendale Ave SW
Palm Bay, FL 32908-1286

Phone

(321) 616-5727

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Brian Robert WingardNPI 1487896684

Title

Therapist

Phone

(321) 616-5727

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Robert Wingard, MA

  • Mental Health Counselor
  • Cocoa, FL
  • NPI 1487896684
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1114642410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 HALLENDALE AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081286",
            "telephone_number": "321-616-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 HALLENDALE AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081286",
            "telephone_number": "321-616-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "WINGARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "321-616-5727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com",
            "affiliation": "N",
            "address_1": "1890 Hallendale Ave SW",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329081286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.