Individual provider Active NPI

Cresselle Baptiste

  • Mental Health Counselor
  • West Melbourne, FL
National Provider Identifier
1659068229
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1924 Dairy Rd
West Melbourne, FL 32904-4046
Phone
(321) 345-7880
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1924 Dairy Rd
West Melbourne, FL 32904-4046

Mailing address

1221 Palm Place Dr NE
Palm Bay, FL 32905-3952
Phone (347) 840-4057

Other names 1

  • Cresselle Elmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1659068229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PALM PLACE DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053952",
            "telephone_number": "347-840-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 DAIRY RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329044046",
            "telephone_number": "321-345-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTE",
        "first_name": "CRESSELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRESSELLE",
            "last_name": "ELMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.