Active NPI
Carla Fleischman
- Mental Health Counselor
- Cocoa, FL
National Provider Identifier
1477899714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3060 Sunset LN
Cocoa, FL 32922-6605 - Phone
- (321) 266-5646
- NPI assigned
- Dec 13, 2012
- Reactivated
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3060 Sunset LN
Cocoa, FL 32922-6605
Mailing address
3060 Sunset LN
Cocoa, FL 32922-6605
Phone (321) 266-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712361600000",
"number": "1477899714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 SUNSET LN",
"city": "COCOA",
"state": "FL",
"postal_code": "329226605",
"telephone_number": "321-266-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 SUNSET LN",
"city": "COCOA",
"state": "FL",
"postal_code": "329226605",
"telephone_number": "321-266-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHMAN",
"first_name": "CARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-13",
"last_updated": "2024-04-06",
"certification_date": "2024-04-06",
"deactivation_date": "2019-08-16",
"reactivation_date": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
- Tammy Findlay-Bell
- Audrey Fisher, LMHC
- Niamh Fitzgerald, BCBA, RBT
- Five Points Pharmacy
- Five Points Pharmacy of Cocoa LLC (Five Points Pharmacy and Wellness)
- Florida Pain and Rehabilitation Institute Inc (Spine, Orthopedics and Rehabilitation)
- Delvesha Raven Flowers
- Jacqueline Flynn
- Rosa Irena Footman, LMFT
- Lauryn Francis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.