Individual provider Active NPI

Cynthia Faye Krause, MA,LMFT

  • Marriage & Family Therapist
  • Melbourne, FL
National Provider Identifier
1124728696
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4560 Issued in FL
Practice address
2760 Revolution St Unit 104
Melbourne, FL 32935-3881
Phone
(321) 684-2453
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4560 FL Primary

Addresses

Primary practice location

2760 Revolution St Unit 104
Melbourne, FL 32935-3881

Mailing address

2760 Revolution St Unit 104
Melbourne, FL 32935-3881
Phone (321) 684-2453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250821002688 FL Practitioner - Marriage and Family Therapist 9537669825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M3 Haven Inc.Group PAC ID 9436698040, 7 clinicians

Practice addresses (Care Compare)

6769 N Wickham Rd
Suite B101
Melbourne, FL 32940-2048
Phone (321) 321-1490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
M3 Haven Inc. Marriage & Family Therapist CurrentSince Jul 24, 2025 Accepting new patients

Locations

930 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 321-1490

6769 N Wickham Rd
Ste B101
Melbourne, FL 32940
Phone (321) 321-1490

Organizations & group practices 1

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1124728696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 REVOLUTION ST UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353881",
            "telephone_number": "321-684-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 REVOLUTION ST UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353881",
            "telephone_number": "321-684-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "CYNTHIA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "MA,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.