Active NPI
Judith A Schrader, LMHC
- Mental Health Counselor
- Melbourne, FL
National Provider Identifier
1730271297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH0007865
- Practice address
- 1800 Penn St Ste 12
Melbourne, FL 32901-2625 - Phone
- (321) 768-6800
- Fax
- (321) 768-6858
- NPI assigned
- Sep 29, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH0007865 | FL | Primary |
Addresses
Primary practice location
1800 Penn St Ste 12
Melbourne, FL 32901-2625
Mailing address
182 Peregrine Dr
Indialantic, FL 32903-4738
Phone (321) 768-6800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH0007865 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730271297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 PEREGRINE DR",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034738",
"telephone_number": "321-768-6800",
"fax_number": "321-768-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PENN ST STE 12",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012625",
"telephone_number": "321-768-6800",
"fax_number": "321-768-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADER",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0007865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
- Brittany Michelle Schnelle, APRN
- Lauren Schnittger, HAS
- Suzanne Schoenrock, APRN
- Victoria Alicia Schoman, OTR
- Jordan Thorp Schopke, C.F. SLP
- Keith Joseph Schrader, M.D.
- Alexis Schrock, D.P.T., A.T.C.
- Kristin Coleman Schroeder, DPT
- David Paul Schroeter Sr., LICENSED MASSAGE THE
- Theodore George Schropp, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.