NPIMap

Organization Active NPI

Reconnections, LLC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1124374616
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC1964 Issued in MD
Legal business name
RECONNECTIONS, LLC
Practice address
255 Evernia St Apt 919
West Palm Beach, FL 33401-5686
Phone
(443) 614-9485
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Melinda Jo Brett, LCPCNPI 1407952922
Title
Owner
Phone
(443) 614-9485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC1964 MD Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 10257 MD
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X D02126 MD
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X N00206 MD

Addresses

Primary practice location

255 Evernia St Apt 919
West Palm Beach, FL 33401-5686

Mailing address

255 Evernia St Apt 919
West Palm Beach, FL 33401-5686
Phone (436) 149-4854

National Provider Directory

National Provider Directory

Locations

31413 Winterplace Pkwy
Ste 102
Salisbury, MD 21804
Phone (410) 742-3055

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1124374616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EVERNIA ST APT 919",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015686",
            "telephone_number": "436-149-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EVERNIA ST APT 919",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015686",
            "telephone_number": "443-614-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "BRETT",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-614-9485",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1964",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10257",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D02126",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "N00206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.