NPIMap

Organization Active NPI

South Brevard Women's Center, Inc

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1659324523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 2665 Issued in FL
Legal business name
SOUTH BREVARD WOMEN'S CENTER, INC
Practice address
1425 Aurora Rd
Melbourne, FL 32935-5384
Phone
(321) 242-1526
Fax
(321) 242-7464
NPI assigned
May 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jenny Gessler, LMHCNPI 1326226408
Title
Executive Director
Phone
(321) 242-3110

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH 2665 FL Primary

Addresses

Primary practice location

1425 Aurora Rd
Melbourne, FL 32935-5384

Mailing address

1425 Aurora Rd
Melbourne, FL 32935-5384
Phone (321) 242-1526

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659324523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 AURORA RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355384",
            "telephone_number": "321-242-1526",
            "fax_number": "321-242-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 AURORA RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355384",
            "telephone_number": "321-242-1526",
            "fax_number": "321-242-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BREVARD WOMEN'S CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GESSLER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-242-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.