Christa Vermillera, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 9873 Issued in FL

Practice address

937 Dixon Blvd
Cocoa, FL 32922-6806

Phone

(321) 446-2113

Fax

(321) 241-4605

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abc Counseling LLCGroup PAC ID 8123350733, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles (2 of 3)

Locations

Networks

• Freedom Health HMO Network

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.

• Abc Counseling LLC

  • Mental Health Counselor
  • Rockledge, FL
  • NPI 1194235069

  FL, Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Positive Behavioral Outcomes Inc

  • Behavior Analyst
  • Rockledge, FL
  • NPI 1225798796
  NPD Authorized official

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1184875312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226806",
            "telephone_number": "321-446-2113",
            "fax_number": "321-241-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226806",
            "telephone_number": "321-446-2113",
            "fax_number": "321-241-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLERA",
        "first_name": "CHRISTA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "9873",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-47877",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "103K00000X",
            "identifier": "1-21-47877",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772265",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@abccounselors.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1802 S Fiske Blvd Ste 201",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329553007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trina Vega
• Leny De Valle Velasquez, BS, BCABA
• Leslie G Ventura
• Veronica Vera
• Miriam M Vermiller, LMHC
• Vibewell Therapy
• Brooke Vidal
• Donald J Vigeant
• Virtumed LLC
• Visionary Optometry Inc

• All providers in Cocoa, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.