Abc Counseling LLC
Organization Active NPI Mental Health Counselor · Rockledge, FL
NPI 1194235069 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1194235069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH9873 (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
- Organization subpart
- No
Authorized official
- Name
- Christa Vermillera
- Title
- Owner
- Phone
- (321) 446-2113
Practitioners 11
-
Pamela Diane Bratton, PHD
-
Miriam M Vermiller, LMHC
-
Christa Vermillera, PHD
-
Susan Whitney, RRT, LMHC, NCC
-
Elizabeth Polomsky, RMHCI
-
Joseph Mathew Burton, LMHC
-
Ericka McCorvey, PMH 2139
-
Jennifer Marie Stanga, MSW, LCSW, DBH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191031002444 | FL | Part B Supplier - Clinic/Group Practice | 8123350733 |
Receives reassigned benefits from 6 practitioners Practice locations: Cocoa, FL |
National Provider Directory
Locations
937 Dixon Blvd
Cocoa, FL 32922
Phone (321) 446-2113
7095 Turner Rd
Rockledge, FL 32955
Phone (321) 446-2113
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | MH9873 | FL | Yes |
| Mental Health Counselor |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 772265 | Medicaid | FL |
Other providers in Rockledge, FL
- A Brevard Center for Family Counseling, Inc.
- A Henriquez MD LLC
- A.E. Begui, D.O, P.a.
- Abbas & Khans LLC
- Saima Abbas
- Rawand Abdel Wahed
- Basem Abdelhamed
- Abdul M Karim PA
- Mayra Alexandra Abelleira Martinez
- Ability Health Services, Inc
All providers in Rockledge, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.