Active NPI
Cresenda Jones, MA
- Counselor
- Melbourne, FL
National Provider Identifier
1679163620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMH17180
- Practice address
- 1600 W Eau Gallie Blvd Ste 201
Melbourne, FL 32935-4149 - Phone
- (267) 261-5487
- NPI assigned
- Jan 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMH17180 | FL | Primary |
Addresses
Primary practice location
1600 W Eau Gallie Blvd Ste 201
Melbourne, FL 32935-4149
Mailing address
399 Webbwood Ave SW
Palm Bay, FL 32908-3444
Phone (267) 261-5487
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH17180 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1679163620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 WEBBWOOD AVE SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329083444",
"telephone_number": "267-261-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W EAU GALLIE BLVD STE 201",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329354149",
"telephone_number": "267-261-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CRESENDA",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "IMH17180",
"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 Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.