Sarah Stupp, MA, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25988 Issued in FL

Practice address

3270 Suntree Blvd Ste 103a
Melbourne, FL 32940-7540

Phone

(321) 757-4015

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Wellness and Life Coaching Center LLC

  • Mental Health Counselor
  • Melbourne, FL
  • NPI 1962191270
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1679317366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ALABAMA AVE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533307",
            "telephone_number": "919-593-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD STE 103A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407540",
            "telephone_number": "321-757-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPP",
        "first_name": "SARAH",
        "credential": "MA, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart P Miller, MD, PA
• Alicia Marie Stubbs
• Melissa A. Studebaker, ARNP-C
• Carol Kenner Stumbo, ARNP
• Daniel Stump, MD
• Catherine Stys
• Ariel Suarez
• Sud Facility Optimization, LLC
• Fernando Suico, PT
• Rebecca Suiters, PA-C

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.