Individual provider Active NPI

Catrina Clore Pauley, LMHC

  • Mental Health Counselor
  • Cocoa, FL
National Provider Identifier
1750546677
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0009831 Issued in FL
Practice address
317 Riveredge Blvd.
Suite 104
Cocoa, FL 32922-7985
Phone
(321) 252-8141
Fax
(321) 362-7463
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9831 FL
Mental Health Counselor 101YM0800X MH0009831 FL Primary

Addresses

Primary practice location

317 Riveredge Blvd.
Suite 104
Cocoa, FL 32922-7985

Mailing address

317 Riveredge Blvd.
Suite 104
Cocoa, FL 32922-7985
Phone (321) 252-8141

Other practice location 1

421 Orange St
Titusville, FL 32796-2873
Phone (321) 252-8141

Other practice location 2

1770 Cedar St
Rockledge, FL 32955-3133
Phone (321) 634-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009003709 FL Practitioner - Mental Health Counselor 8325579717 Practice locations: Cocoa, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

317 River Edge Blvd
Suite 104
Cocoa, FL 32922-7985
Phone (321) 252-8141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH0009831FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catrina Pauley, LMHC Mental Health CurrentSince Jul 31, 2024 Accepting new patients

Locations

317 River Edge Blvd
Ste 104
Cocoa, FL 32922
Phone (321) 328-5674

421 Orange St
Titusville, FL 32796
Phone (321) 271-5487

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1750546677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 RIVEREDGE BLVD.",
            "address_2": "SUITE 104",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227985",
            "telephone_number": "321-252-8141",
            "fax_number": "321-362-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 RIVEREDGE BLVD.",
            "address_2": "SUITE 104",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227985",
            "telephone_number": "321-252-8141",
            "fax_number": "321-362-7463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Orange St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962873",
            "country_code": "US",
            "telephone_number": "321-252-8141",
            "fax_number": "321-362-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553133",
            "country_code": "US",
            "telephone_number": "321-634-6257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "CATRINA",
        "middle_name": "CLORE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9831",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0009831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.