Individual provider Active NPI

Carol Atkinson, PHD, LMFT

  • Marriage & Family Therapist
  • Palm Bay, FL
National Provider Identifier
1558668186
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2868 Issued in FL
Practice address
1639 Gould Ave SW
Palm Bay, FL 32908-8118
Phone
(321) 805-2982
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 002129 NY
Marriage & Family Therapist 106H00000X MT2868 FL Primary
Marriage & Family Therapist 106H00000X 205015 TX
Marriage & Family Therapist 106H00000X MFT.0002752 CO

Addresses

Primary practice location

1639 Gould Ave SW
Palm Bay, FL 32908-8118

Mailing address

3425 Bayside Lakes Blvd SE Ste 103
Palm Bay, FL 32909-6867
Phone (321) 805-2982

Other practice location 1

5834 Stirling Rd
Hollywood, FL 33021-1527
Phone (954) 773-5660

Other practice location 2

4801 S University Dr Ste 126
Davie, FL 33328-3832
Phone (321) 805-2982

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT2868FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Institute for Mental Health Professionals Marriage & Family Therapist Current Accepting new patients

Locations

3425 Bayside Lakes Blvd SE
Ste 103
Palm Bay, FL 32909
Phone (321) 209-2005

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1558668186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 BAYSIDE LAKES BLVD SE STE 103",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096867",
            "telephone_number": "321-805-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 GOULD AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329088118",
            "telephone_number": "321-805-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5834 Stirling Rd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330211527",
            "country_code": "US",
            "telephone_number": "954-773-5660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 S University Dr Ste 126",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283832",
            "country_code": "US",
            "telephone_number": "321-805-2982",
            "fax_number": "321-989-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002129",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2868",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205015",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.