Monarch Academy for Neurodivergent Youth and Young Adults L.L.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MONARCH ACADEMY FOR NEURODIVERGENT YOUTH AND YOUNG ADULTS L.L.C.

Practice address

5422 First Coast Hwy Ste 102
Amelia Island, FL 32034-5403

Phone

(949) 232-0513

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Amaris Avellan, PH.D.NPI 1891465787

Title

Postdoctoral Clinical Psych Fellow

Phone

(949) 232-0513

Specialties & licenses 14

Addresses

Other names 1

• Dr. Amaris Avellan w/Monarch Academy for Neurodivergent Youth Other name

Electronic endpoints 1

Locations

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.

• Amaris Avellan, PH.D.

  • Professional Counselor
  • Amelia Island, FL
  • NPI 1891465787

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1790519270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 3RD ST S # 121",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505847",
            "telephone_number": "949-232-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 FIRST COAST HWY STE 102",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320345403",
            "telephone_number": "949-232-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH ACADEMY FOR NEURODIVERGENT YOUTH AND YOUNG ADULTS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "AVELLAN",
        "authorized_official_first_name": "AMARIS",
        "authorized_official_title_or_position": "POSTDOCTORAL CLINICAL PSYCH FELLOW",
        "authorized_official_telephone_number": "949-232-0513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "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
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
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            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dramarismonarchndacademy.square.site/",
            "affiliation": "N",
            "endpointDescription": "Dr. Amaris with Monarch Academy and Institute for Psych Development",
            "address_1": "5422 First Coast Hwy Ste 102",
            "city": "Amelia Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320345403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr. Amaris Avellan w/Monarch Academy for Neurodivergent Youth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ken Ferrell Johnson Jr., PSYD
• Michele Elizabeth Johnson, LMHC
• Emily Jones, ATC, LAT
• Live Long Well Care, LLC (Live Long Well Care of Nassau County)
• Daniel Mills Jr., OTR/L
• Maria A Murphy, MA, LMHC, LCPC
• Morgan Clarissa Oldfield
• Osprey Village at Amelia Island Plantation, LTD
• William Paul Peters, MD, PH.D
• Mary Catherine Plymel

• Mental Health Counselor in Amelia Island, FL
• Providers in Amelia Island, 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 Aug 28, 2024; 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.