John Stadelman, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11457 Issued in FL

Practice address

815 Harrier Ave
Satellite Beach, FL 32937-2884

Phone

(321) 494-3007

NPI assigned

Jul 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Riverside Counseling Services, LLCGroup PAC ID 0446415970, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Riverside Counseling Services, LLC

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1003198409
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1215414495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 CORBUSIER DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HARRIER AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372884",
            "telephone_number": "321-494-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Falcon Ave",
            "address_purpose": "LOCATION",
            "city": "Patrick AFB",
            "state": "FL",
            "postal_code": "329253426",
            "country_code": "US",
            "telephone_number": "321-494-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADELMAN",
        "first_name": "JOHN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Todd Slovik, OTR/L, LMT
• Jennifer Smith, L.M.H.C.
• Linda J Smith, MA, LMHC
• Nicholas W Smith, M.A.
• Alan John Spindler, D.C., ARNP.
• Mark Stamand, RPH
• Stephanie Steger, M.A, CCC-SLP
• Claire Steininger, APRN, FNP-C
• Charles Stevens, PSY.D.
• Urszula Elizabeth Sund, ANP

• Mental Health Counselor in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.