Individual provider Active NPI

Annette Abel, LPCC

  • Professional Counselor
  • Santa Rosa Beach, FL
National Provider Identifier
1518705409
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104139 Issued in KY
Practice address
309 Robert Ellis St
Santa Rosa Beach, FL 32459-7460
Phone
(606) 425-2838
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 104139 KY Primary

Addresses

Primary practice location

309 Robert Ellis St
Santa Rosa Beach, FL 32459-7460

Mailing address

309 Robert Ellis St
Santa Rosa Beach, FL 32459-7460
Phone (606) 425-2838

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

LicenseStateTypeSpecialty
104139KYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1518705409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ROBERT ELLIS ST",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597460",
            "telephone_number": "606-425-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ROBERT ELLIS ST",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597460",
            "telephone_number": "606-425-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEL",
        "first_name": "ANNETTE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.