Treasure Coast Counseling Center Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1956AD091301 Issued in FL

Legal business name

TREASURE COAST COUNSELING CENTER INC

Practice address

2400 SE Vetrans Memorial Parkway
Suite 211
Port St Lucie, FL 34952-5033

Phone

(772) 335-9808

Fax

(772) 335-9818

NPI assigned

Apr 7, 2010

Organization subpart

No

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

Authorized official

Name

Renee Marie Fetcho

Title

Office/Billing Manager

Phone

(772) 335-9808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Sharron A Thomas, LCSW

  • Clinical Social Worker
  • Port St Lucie, FL
  • NPI 1568781474
  Medicare reassignment
• Margaret Heger, M.S., L.M.H.C.

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1760721328
  NPD (past)
• Magalys Koch, L.C.S.W.

  • Clinical Social Worker
  • Port St Lucie, FL
  • NPI 1730407446
  NPD (past)
• Judith S Rothenberg, MSW, LCSW

  • Clinical Social Worker
  • Jupiter, FL
  • NPI 1104913375
  NPD (past)
• Regina D. Wood, LCSW

  • Clinical Social Worker
  • Palm City, FL
  • NPI 1780805309
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1558686170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SE VETRANS MEMORIAL PARKWAY",
            "address_2": "SUITE 211",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525033",
            "telephone_number": "772-335-9808",
            "fax_number": "772-335-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SE VETRANS MEMORIAL PARKWAY",
            "address_2": "SUITE 211",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525033",
            "telephone_number": "772-335-9808",
            "fax_number": "772-335-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "FETCHO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "772-335-9808"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1956AD091301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Micheal Traynor, MD
• Treasure Coast Alf Inc.
• Treasure Coast Anesthesiology, P.a.
• Treasure Coast Cancer Care Center Inc
• Treasure Coast Cosmetic Surgery Center
• Treasure Coast Diagnostics LLC
• Treasure Coast Gi LLC
• Treasure Coast Health (Healthy Results)
• Treasure Coast Healthcare Associates,LLC
• Treasure Coast Medical and Holistic Care, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.