Active NPI
Ocean Breeze Counseling, LLC
- Mental Health Counselor
- Indialantic, FL
National Provider Identifier
1164085197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- OCEAN BREEZE COUNSELING, LLC
- Practice address
- 202 4TH Ave
Indialantic, FL 32903-3114 - Phone
- (321) 626-7122
- NPI assigned
- Apr 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne Lano, LMHC
- Title
- Co-Owner
- Phone
- (321) 626-7122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
202 4TH Ave
Indialantic, FL 32903-3114
Mailing address
202 4TH Ave
Indialantic, FL 32903-3114
Phone (321) 626-7122
National Provider Directory
National Provider DirectoryLocations
202 4th Ave
Indialantic, FL 32903
Phone (321) 373-2281
1740 Sarno Rd
Melbourne, FL 32935
Phone (321) 373-2281
Practitioners & affiliated clinicians
Practitioners 3
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": "1555372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623024000000",
"number": "1164085197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 4TH AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033114",
"telephone_number": "321-626-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 4TH AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033114",
"telephone_number": "321-626-7122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN BREEZE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-16",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A",
"authorized_official_last_name": "LANO",
"authorized_official_first_name": "JEANNE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "321-626-7122",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.