Individual provider Active NPI

Jessica Hunnicutt, APRN

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1215315452
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
400 E Sheridan Rd
Melbourne, FL 32901-3184
Phone
(321) 722-5200
NPI assigned
May 7, 2015
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11011640 FL
Mental Health Counselor 101YM0800X Primary
Registered Nurse 163W00000X RN.398722 OH
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9555444 FL

Addresses

Primary practice location

400 E Sheridan Rd
Melbourne, FL 32901-3184

Mailing address

400 East Sheridan Rd
Melbourne, FL 32901-3184

Other practice location 1

5444 Chatford Sq
Columbus, OH 43232-7015
Phone (614) 804-3306

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000512 FL Practitioner - Nurse Practitioner 8325440530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circles of Care IncGroup PAC ID 8729069380, 26 clinicians

Practice addresses (Care Compare)

2020 Commerce Dr
West Melbourne, FL 32904-2335
Phone (321) 952-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.398722OHMDRegistered Nurse
RN9555444FLMDPsychiatric/Mental Health Registered Nurse
11011640FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circles of Care, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Circles of Care, Inc. Mental Health CurrentSince Jul 1, 2021 Accepting new patients

Locations

400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273

2000 Commerce Dr
West Melbourne, FL 32904
Phone (321) 676-6650

2020 Commerce Dr
West Melbourne, FL 32904
Phone (321) 952-6000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1215315452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013184",
            "telephone_number": "321-722-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5444 Chatford Sq",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432327015",
            "country_code": "US",
            "telephone_number": "614-804-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNNICUTT",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11011640",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.398722",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9555444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.