Organization Active NPI

Elements Therapy and Wellness, Inc.

  • Marriage & Family Therapist
  • Merritt Island, FL
National Provider Identifier
1639003957
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ELEMENTS THERAPY AND WELLNESS, INC.
Practice address
333 Crockett Blvd Unit 541494
Merritt Island, FL 32954-0199
Phone
(321) 335-4838
NPI assigned
Jun 11, 2026
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Nicole Charara, LMFTNPI 1457599755
Title
President
Phone
(321) 335-4838

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
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

333 Crockett Blvd Unit 541494
Merritt Island, FL 32954-0199

Mailing address

333 Crockett Blvd Unit 541494
Merritt Island, FL 32954-0199

National Provider Directory

National Provider Directory

Locations

333 Crockett Blvd
Unit 541494
Merritt Island, FL 32954

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": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1639003957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CROCKETT BLVD UNIT 541494",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329540199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CROCKETT BLVD UNIT 541494",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329540199",
            "telephone_number": "321-335-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS THERAPY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "CHARARA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-335-4838",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.