Organization Active NPI

Aace Health Network, LLC

Doing business as AACE Therapy Services

  • Community/Behavioral Health Agency
  • Port St Lucie, FL
National Provider Identifier
1598336604
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AACE HEALTH NETWORK, LLC
Doing business as
AACE Therapy Services
Practice address
5776 NW Zinnia St
Port St Lucie, FL 34986-3501
Phone
(949) 702-0918
NPI assigned
Jul 9, 2021
Last updated
Jul 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Karissa Bolden, LMHCNPI 1427667104
Title
Owner/Therapist
Phone
(772) 210-4586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5776 NW Zinnia St
Port St Lucie, FL 34986-3501

Mailing address

PO Box 880621
Port Saint Lucie, FL 34988-0621
Phone (772) 281-0600

Other names 1

  • AACE Therapy Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbolden@aacehn.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1598336604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880621",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349880621",
            "telephone_number": "772-281-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 NW ZINNIA ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863501",
            "telephone_number": "949-702-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AACE HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "772-210-4586",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbolden@aacehn.com",
            "affiliation": "N",
            "endpointDescription": "Secure messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5776 NW Zinnia St",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349863501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AACE Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.