Linda M Ouellette, PH.D., LMHC, LMFT,

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT 2098 Issued in FL

Practice address

1250 W Eau Gallie Blvd Ste a
Melbourne, FL 32935-5385

Phone

(321) 289-8928

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Linda M Vanderbleek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1194870683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 VENTURA DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329375755",
            "telephone_number": "321-289-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W EAU GALLIE BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355385",
            "telephone_number": "321-289-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC, LMFT,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5334",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "VANDERBLEEK",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PH.D., LMHC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monserrat Osornio-Cornejo
• Carrie M Ossa
• Jessica Osterhout
• Katharine Oswald, LCSW
• Bryanna Oswalt, LMFT
• Tiffiny Ann Overath
• Overcomers Rehab & Physical Therapy
• Amber Leigh Owen, FNP-C
• Brianna K Owen, COTA
• Melissa Owen, BCBA

• Marriage & Family Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.