NPIMap

Organization Active NPI

Abc Counseling LLC

  • Mental Health Counselor
  • Rockledge, FL
National Provider Identifier
1194235069
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9873 Issued in FL
Legal business name
ABC COUNSELING LLC
Practice address
1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007
Phone
(321) 446-2113
Fax
(321) 241-4605
NPI assigned
Oct 5, 2017
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Christa VermilleraNPI 1184875312
Title
Owner
Phone
(321) 446-2113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH9873 FL Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH9893 FL

Addresses

Primary practice location

1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007

Mailing address

1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007
Phone (321) 446-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191031002444 FL Part B Supplier - Clinic/Group Practice 8123350733 Receives reassigned benefits from 6 practitioners
Practice locations: Cocoa, FL

National Provider Directory

National Provider Directory

Locations

937 Dixon Blvd
Cocoa, FL 32922
Phone (321) 266-1328

7341 Office Park Pl
Ste 107
Melbourne, FL 32940
Phone (321) 405-5500

7095 Turner Rd
Rockledge, FL 32955
Phone (321) 446-2113

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1194235069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 S FISKE BLVD STE 201",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553007",
            "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": "1802 S FISKE BLVD STE 201",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553007",
            "telephone_number": "321-446-2113",
            "fax_number": "321-241-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "VERMILLERA",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-446-2113"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9873",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.