Eventide Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVENTIDE THERAPY

Practice address

1000 Orange Woods Blvd
Rockledge, FL 32955-4309

Phone

(321) 408-4213

NPI assigned

Aug 11, 2026

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeannine Haney-Fryberger, LMHCNPI 1104522960

Title

Sole Proprietor

Phone

(321) 408-4213

Specialties & licenses 1

Addresses

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.

• Jeannine Marie Haney-Fryberger, LMHC

  • Mental Health Counselor
  • Cocoa, FL
  • NPI 1104522960
  NPD Authorized official

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1841115532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560203",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329560203",
            "telephone_number": "321-408-4213",
            "fax_number": "321-404-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ORANGE WOODS BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554309",
            "telephone_number": "321-408-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENTIDE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "HANEY-FRYBERGER",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "321-408-4213",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chance James Epps, LMT
• Ahmad Esmailbegui, D.O.
• Isaac Esseesse, M.D.
• Rosa Estela Flint, RN, BC, LCSW
• Selina Evans, DC
• Amanda Jean Ewer, OT
• Eyedeal Vision Care, Inc.
• Chinyere Roseline Eze, PT
• Wieslaw Faliszewski
• Family Counseling Center of Brevard, Inc.

• Mental Health Counselor in Rockledge, FL
• Providers in Rockledge, 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 Sep 10, 2026; 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.