Organization Active NPI

Connected Thriving Counseling and Wellness

  • Mental Health Counselor
  • Rockledge, FL
National Provider Identifier
1740739226
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13469 Issued in FL
Legal business name
CONNECTED THRIVING COUNSELING AND WELLNESS
Practice address
4195 US Highway 1 Ste 102
Rockledge, FL 32955-5385
Phone
(321) 720-3444
NPI assigned
Sep 26, 2016
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Tiffanie Monique TrudeauNPI 1982919544
Title
Counselor
Phone
(321) 720-3444

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 Counselor 101YM0800X MH13469 FL Primary

Addresses

Primary practice location

4195 US Highway 1 Ste 102
Rockledge, FL 32955-5385

Mailing address

5445 Murrell Rd Ste 102-195
Rockledge, FL 32955-6429
Phone (321) 720-3444

Other identifiers 1

IdentifierTypeStateIssuer
MH13469OtherLMHC

National Provider Directory

National Provider Directory

Locations

4195 US Highway 1
Ste 102
Rockledge, FL 32955
Phone (321) 720-3444

5445 Murrell Rd
Ste 102195
Rockledge, FL 32955

645 Classic Ct
Ste 104
Viera, FL 32940
Phone (321) 323-9069

Practitioners & affiliated clinicians

Practitioners 1

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": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1740739226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MURRELL RD STE 102-195",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556429",
            "telephone_number": "321-720-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 US HIGHWAY 1 STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555385",
            "telephone_number": "321-720-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED THRIVING COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "TRUDEAU",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "321-720-3444"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH13469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.