Organization Active NPI

Ocean Breeze Counseling, LLC

  • Mental Health Counselor
  • Indialantic, FL
National Provider Identifier
1164085197
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 7, 2021

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.