Emerald Coast Counseling & Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 5054 Issued in FL

Legal business name

EMERALD COAST COUNSELING & ASSOCIATES

Practice address

151 Mary Esther Blvd Ste 507
Mary Esther, FL 32569-1976

Phone

(850) 226-7419

Fax

(850) 362-7403

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Brittany Greene

Title

Administrative Assistant

Phone

(850) 226-7419

Specialties & licenses 1

Addresses

Practitioners 1

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

• Martha Lawson Van Dam, M.S., NCC

  • Mental Health Counselor
  • Mary Esther, FL
  • NPI 1134537301
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1609276252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD STE 507",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691976",
            "telephone_number": "850-226-7419",
            "fax_number": "850-362-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD STE 507",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691976",
            "telephone_number": "850-226-7419",
            "fax_number": "850-362-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST COUNSELING & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "850-226-7419"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viveca L Durant-Amos
• Kristian David Edlund, O.D.
• Shanaire Moya Edwards
• Kaitlyn Eigenbrode, RD,LDN
• Rana Elkassih, PA-C
• Emerald Coast Psychiatric Care PA
• Michelle Espinoza, LMHC
• Leonard William Fabian III, D.C.
• Dina Anne Farmer
• Bradyn Harrison Flanagin

• Mental Health Counselor in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.