Jennings' Applied Behavior & Cognitive Center, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7350 Issued in FL

Legal business name

JENNINGS' APPLIED BEHAVIOR & COGNITIVE CENTER, INC.

Practice address

1275 S Patrick Dr
Suite C
Satellite Beach, FL 32937-3963

Phone

(321) 779-0213

Fax

(321) 773-0497

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan Marie Jennings, ED.D., LMHC, BCBANPI 1033280185

Title

President Ceo

Phone

(321) 779-0213

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Marie Jennings, ED.D.

  • Mental Health Counselor
  • Satellite Beach, FL
  • NPI 1033280185
  NPD (past) Authorized official
• Judith Anne Kelso, BCBA

  • Behavior Analyst
  • Satellite Beach, FL
  • NPI 1255666806
  NPD (past)
• Shari M. Lewis-White, LCSW, BCABA

  • Clinical Social Worker
  • Satellite Beach, FL
  • NPI 1104057660
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700983426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-779-0213",
            "fax_number": "321-773-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-779-0213",
            "fax_number": "321-773-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS' APPLIED BEHAVIOR & COGNITIVE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "321-779-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., LMHC, BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brian Louis Ireland, D.O.
• Island Mobile Physical Therapy, LLC
• Susan Marie Jennings, ED.D.
• Catherine Anne Jimenez, M.A. CCC-SLP
• Holly Ann Johnson, OTR/L
• Jill Johnson, OTR
• Kristin Jones, MSOT/OTR/L
• Chelsea Elizabeth Kazmier, LCSW

• Mental Health Counselor in Satellite Beach, FL
• Providers in Satellite Beach, 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 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.