Active NPI
Estelle Kay Nowak, LMHC
- Mental Health Counselor
- Viera, FL
National Provider Identifier
1275033631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15573
- Practice address
- 5445 Village Dr Ste 102
Viera, FL 32955-6666 - Phone
- (321) 313-2139
- NPI assigned
- Feb 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15573 | FL | Primary |
Addresses
Primary practice location
5445 Village Dr Ste 102
Viera, FL 32955-6666
Mailing address
602 Shorewood Dr Unit A206
Cape Canaveral, FL 32920-5080
Phone (321) 313-2139
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH15573 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1275033631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 SHOREWOOD DR UNIT A206",
"city": "CAPE CANAVERAL",
"state": "FL",
"postal_code": "329205080",
"telephone_number": "321-313-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 VILLAGE DR STE 102",
"city": "VIERA",
"state": "FL",
"postal_code": "329556666",
"telephone_number": "321-313-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "ESTELLE",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.