Organization Active NPI

Safe Place Treatment Services, Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Melbourne, FL
National Provider Identifier
1235982687
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SAFE PLACE TREATMENT SERVICES, CORPORATION
Doing business as
Safe Place Treatment Services, Org.
Practice address
274 N Babcock St Ste a
Melbourne, FL 32935-7334
Phone
(321) 208-6186
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
John Curry, MA, BSHS, CAP, SN
Title
Ceo/Cap
Phone
(321) 600-4559

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

274 N Babcock St Ste a
Melbourne, FL 32935-7334

Mailing address

2123 Henry St NE
Palm Bay, FL 32905-2623
Phone (321) 208-6186

Other names 1

  • Safe Place Treatment Services, Org. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260308000064 FL Part B Supplier - Clinic/Group Practice 6507348596 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

274 N Babcock St
Ste A
Melbourne, FL 32935
Phone (321) 208-6186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1235982687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 HENRY ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052623",
            "telephone_number": "321-208-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 N BABCOCK ST STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357334",
            "telephone_number": "321-208-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE PLACE TREATMENT SERVICES, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/CAP",
        "authorized_official_telephone_number": "321-600-4559",
        "authorized_official_credential": "MA, BSHS, CAP, SN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Place Treatment Services, Org.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.