Individual provider Active NPI

Victoria Anne Pospisil, LMHC

  • Mental Health Counselor
  • Palm Bay, FL
National Provider Identifier
1194071746
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 10756 Issued in FL
Practice address
4670 Lipscomb St NE
Ste. 11
Palm Bay, FL 32905-2927
Phone
(321) 726-2889
Fax
(321) 726-2893
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 10756 FL Primary

Addresses

Primary practice location

4670 Lipscomb St NE
Ste. 11
Palm Bay, FL 32905-2927

Mailing address

4670 Lipscomb St NE
Ste. 11
Palm Bay, FL 32905-2927
Phone (321) 726-2889

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
I20240315002893 FL Practitioner - Mental Health Counselor 0143666891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Psychiatric Centers IncGroup PAC ID 1557357860, 23 clinicians

Practice addresses (Care Compare)

2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Phone (321) 724-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 10756FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Psychiatric Centers, Inc. Mental Health CurrentSince Feb 19, 2024 Accepting new patients

Locations

2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614

Interoperability endpoints

  • Direct secure messaging: atlanticpsychiatric.victoriapospisil@157402.advancedmd-direct.com

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1194071746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 LIPSCOMB ST NE",
            "address_2": "STE. 11",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052927",
            "telephone_number": "321-726-2889",
            "fax_number": "321-726-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 LIPSCOMB ST NE",
            "address_2": "STE. 11",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052927",
            "telephone_number": "321-726-2889",
            "fax_number": "321-726-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSPISIL",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.