Individual provider Active NPI

Giancarlo Ojeda Sanjurjo, BCABA

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1215489901
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26318 Issued in FL
Practice address
200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389
Phone
(321) 259-1662
NPI assigned
Oct 27, 2016
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 MH26318 FL Primary

Addresses

Primary practice location

200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389

Mailing address

200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389
Phone (321) 259-1662

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

State licenses

LicenseStateTypeSpecialty
MH26318FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Interventions PastSince Jul 12, 2020 Accepting new patients

Organizations & group practices 1

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1215489901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD STE 401",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011389",
            "telephone_number": "321-259-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD STE 401",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011389",
            "telephone_number": "321-259-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEDA SANJURJO",
        "first_name": "GIANCARLO",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.