Individual provider Active NPI

Robert Zaccheo, M.ED. L.M.H.C

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1194917245
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9923 Issued in FL
Practice address
735 Colorado Ave
Suite6
Stuart, FL 34994-3031
Phone
(772) 220-3439
Fax
(772) 220-3484
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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 MH9923 FL Primary

Addresses

Primary practice location

735 Colorado Ave
Suite6
Stuart, FL 34994-3031

Mailing address

PO Box 265
Stuart, FL 34995-0265
Phone (772) 220-3439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MH9923FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1194917245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950265",
            "telephone_number": "772-220-3439",
            "fax_number": "772-220-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 COLORADO AVE",
            "address_2": "SUITE6",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943031",
            "telephone_number": "772-220-3439",
            "fax_number": "772-220-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCHEO",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.ED. L.M.H.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.