Heidi Mobley Cole, LMHC, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18396 Issued in FL

Practice address

6769 N Wickham Rd Ste B101
Melbourne, FL 32940-2048

Phone

(321) 321-1490

NPI assigned

Jun 15, 2021

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M3 Haven Inc.Group PAC ID 9436698040, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M3 Haven Inc.

  dba Ellie Mental Health - Space Coast

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1831945484

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1750959854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076504",
            "telephone_number": "561-713-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N WICKHAM RD STE B101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402048",
            "telephone_number": "321-321-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334076504",
            "country_code": "US",
            "telephone_number": "561-713-6872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "HEIDI",
        "middle_name": "MOBLEY",
        "credential": "LMHC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charna Cohen, FNP-BC
• Daniel Albert Cohen, DPM
• Jennifer Williams Colasacco, ARNP
• Cole Vision Corporation (Sears Optical #C0870)
• Christopher Stanley Cole, PHYSICIAN ASSISTANT
• Joanna Gernaye Cole, RBT
• Barbara S Coleman, PA
• Samuel Case Colgin, BS
• Jose Coll, CSA
• Loren Collarile

• 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 Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.