Organization Active NPI

Jade Mental Health and Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cocoa, FL
National Provider Identifier
1356275648
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JADE MENTAL HEALTH AND WELLNESS, PLLC
Practice address
511 Delannoy Ave Ste 2
Cocoa, FL 32922-8202
Phone
(321) 495-7140
NPI assigned
Jun 11, 2026
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Mrs. Kelsey Lynn Bauer Webb, APRN, PMHNP-BCNPI 1295694768
Title
Owner
Phone
(321) 505-7555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

511 Delannoy Ave Ste 2
Cocoa, FL 32922-8202

Mailing address

511 Delannoy Ave Ste 2
Cocoa, FL 32922-8202
Phone (321) 495-7140

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1356275648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 DELANNOY AVE STE 2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329228202",
            "telephone_number": "321-495-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 DELANNOY AVE STE 2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329228202",
            "telephone_number": "321-495-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE MENTAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "BAUER WEBB",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-505-7555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.