NPIMap

Organization Active NPI

Livewell Behavioral Health Corp

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1770185308
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVEWELL BEHAVIORAL HEALTH CORP
Practice address
200 S Harbor City Blvd
Melbourne, FL 32901-1384
Phone
(321) 259-1662
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Miss Michele Ronsisvalle
Title
Chief Operations Officer
Phone
(321) 259-1662

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

200 S Harbor City Blvd
Melbourne, FL 32901-1384

Mailing address

200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389
Phone (321) 259-1662

Other practice location 1

8249 Devereux Dr
Melbourne, FL 32940-7955
Phone (321) 259-1662

National Provider Directory

National Provider Directory

Locations

200 S Harbor City Blvd
Melbourne, FL 32901
Phone (321) 259-1662

200 S Harbor City Blvd
Ste 401
Melbourne, FL 32901
Phone (321) 259-1662

8249 Devereux Dr
Melbourne, FL 32940
Phone (321) 259-1662

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1770185308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD STE 401",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011389",
            "telephone_number": "321-259-1662",
            "fax_number": "321-779-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011384",
            "telephone_number": "321-259-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8249 Devereux Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407955",
            "country_code": "US",
            "telephone_number": "321-259-1662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVEWELL BEHAVIORAL HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "RONSISVALLE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "321-259-1662",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.