Active NPI
True You Brevard LLC
- Clinical Social Worker
- Merritt Island, FL
National Provider Identifier
1639705759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TRUE YOU BREVARD LLC
- Practice address
- 2030 S Courtenay Pkwy
Merritt Island, FL 32952-3912 - Phone
- (321) 613-8685
- NPI assigned
- Mar 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Amber Joyce, LCSW
- Title
- Owner
- Phone
- (321) 613-8685
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
2030 S Courtenay Pkwy
Merritt Island, FL 32952-3912
Mailing address
2030 S Courtenay Pkwy
Merritt Island, FL 32952-3912
Phone (321) 613-8685
Other practice location 1
255 Imperial St B1
Merritt Island, FL 32952-3295
Phone (321) 613-8685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201008001205 | FL | Part B Supplier - Clinic/Group Practice | 0244650430 | Practice locations: Merritt Island, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Pensacola, FL
- NPI 1023479078
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Titusville, FL
- NPI 1477893659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584662400000",
"number": "1639705759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 S COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329523912",
"telephone_number": "321-613-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 S COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329523912",
"telephone_number": "321-613-8685"
}
],
"practiceLocations": [
{
"address_1": "255 Imperial St B1",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "329523295",
"country_code": "US",
"telephone_number": "321-613-8685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRUE YOU BREVARD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A",
"authorized_official_last_name": "JOYCE",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-613-8685",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 20, 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.