Start Fresh Counseling Center, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH 12768 Issued in FL

Legal business name

START FRESH COUNSELING CENTER, INC

Practice address

135 N Moon Ave
Brandon, FL 33510-4419

Phone

(813) 489-4547

NPI assigned

Apr 17, 2015

Organization subpart

Yes

Parent organization

START FRESH COUNSELING CENTER, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Casandra Anne Merritt, MHC,CBHCMSNPI 1205239357

Title

Ceo

Phone

(813) 489-4546

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Start Fresh Counseling Center Inc

Locations

Practitioners 3

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

• Casandra Merritt

  • Mental Health Counselor
  • Brandon, FL
  • NPI 1205239357
  NPD Authorized official
• Myesha Merritt

  • Behavior Technician
  • Brandon, FL
  • NPI 1760920219

  Single Specialty

  NPD (past)
• Leah Christine Obringer, LMHC

  • Mental Health Counselor
  • Brandon, FL
  • NPI 1730635798
  NPD (past)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1376930362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104419",
            "telephone_number": "813-489-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104419",
            "telephone_number": "813-489-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START FRESH COUNSELING CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "START FRESH COUNSELING CENTER, INC",
        "enumeration_date": "2015-04-17",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-489-4546",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHC,CBHCMS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 12768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015050400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Stallings, PMHNP-BC
• Chris Stangle, PTA
• Zachary Stanton, DO
• Star Wellness & Health LLC
• Elena Starr, MA
• Start Fresh Foundation Inc
• Savannah Steele
• Sophia Elizabeth Lee Stefano, APRN
• Stein Dental Group
• Carmen Teresa Stein, LMHC

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, 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 Feb 25, 2022; 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.