NPIMap

Organization Active NPI

Archway Counseling Center

Doing business as J. Phyllis Brannen, LCSW, CAP

  • Community/Behavioral Health Agency
  • Melbourne, FL
National Provider Identifier
1639576572
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1805AD627401 Issued in FL
Legal business name
ARCHWAY COUNSELING CENTER
Doing business as
J. Phyllis Brannen, LCSW, CAP
Practice address
274 N Babcock St
Suite C
Melbourne, FL 32935-7334
Phone
(321) 313-0953
Fax
(321) 952-1767
NPI assigned
Nov 20, 2014
Last updated
Nov 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Ms. J. Phyllis Brannen, LCSW, CAP
Title
Owner/Operator
Phone
(813) 482-2507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1805AD627401 FL Primary

Addresses

Primary practice location

274 N Babcock St
Suite C
Melbourne, FL 32935-7334

Mailing address

274 N Babcock St
Suite C
Melbourne, FL 32935-7334

Other names 1

  • J. Phyllis Brannen, LCSW, CAP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Archway Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

274 N Babcock St
Ste C
Melbourne, FL 32935
Phone (321) 313-0953

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": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1639576572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N BABCOCK ST",
            "address_2": "SUITE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 N BABCOCK ST",
            "address_2": "SUITE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357334",
            "telephone_number": "321-313-0953",
            "fax_number": "321-952-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "BRANNEN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "813-482-2507",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1805AD627401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Phyllis Brannen, LCSW, CAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.