Active NPI
Cfsatc Inc
Doing business as Central Florida Treatment Centers Fort Pierce
- Community/Behavioral Health Agency
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1956AD125700
- Legal business name
- CFSATC INC
- Doing business as
- Central Florida Treatment Centers Fort Pierce
- Practice address
- 1302 N Lawnwood Cir Ste B
Fort Pierce, FL 34950-4884 - Phone
- (772) 468-6800
- Fax
- (772) 464-3800
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dave Kneessy, MS, MAC, MCAP, LMHC
- Title
- Regional Director
- Phone
- (321) 951-9750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1956AD125700 | FL | Primary |
Addresses
Primary practice location
1302 N Lawnwood Cir Ste B
Fort Pierce, FL 34950-4884
Mailing address
1302 N Lawnwood Cir Ste B
Fort Pierce, FL 34950-4884
Phone (772) 468-6800
Other names 1
- Central Florida Treatment Centers Fort Pierce
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191119003199 | FL | Part B Supplier - Opioid Treatment Program (Otp) | 7214369859 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cocoa, FL; Titusville, FL; Stuart, FL; Palm Bay, FL; Orlando, FL; Lake Worth, FL; Fort Pierce, FL; Fort Lauderdale, FL |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Central Florida Substance Abuse Treatment Centers
- Community/Behavioral Health Agency
- Stuart, FL
- NPI 1497498810
O20191119003199
-
dba Central Florida Treatment Center Lake Worth
- Community/Behavioral Health Agency
- Lake Worth, FL
- NPI 1508050147
O20191119003199
-
dba CFSATC Inc dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1750349742
O20191119003199
-
dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Titusville, FL
- NPI 1780329359
O20191119003199
-
dba Central Florida Treatment Center
- Community/Behavioral Health Agency
- Cocoa, FL
- NPI 1316142334
O20191119003199
-
dba Central Florida Treatment Center Palm Bay
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1356548721
O20191119003199
-
dba Central Florida Treatment Center Fort Lauderdale
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1811450620
O20191119003199
National Provider Directory
National Provider Directory- Tax ID family
- Cfsatc Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Central Florida Substance Abuse Treatment Centers
- Community/Behavioral Health Agency
- Stuart, FL
- NPI 1497498810
-
dba Central Florida Treatment Center Lake Worth
- Community/Behavioral Health Agency
- Lake Worth, FL
- NPI 1508050147
-
dba CFSATC Inc dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1750349742
-
dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Titusville, FL
- NPI 1780329359
-
dba Central Florida Treatment Center
- Community/Behavioral Health Agency
- Cocoa, FL
- NPI 1316142334
-
dba Central Florida Treatment Center Palm Bay
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1356548721
-
dba Central Florida Treatment Center Fort Lauderdale
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1811450620
Networks
- HealthSun Health Plans Network
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Fort Pierce, FL
- NPI 1356709844
-
- Addiction (Substance Use Disorder) Counselor
- Fort Pierce, FL
- NPI 1417463068
-
- Addiction (Substance Use Disorder) Counselor
- Fort Pierce, FL
- NPI 1821504473
-
- Addiction (Substance Use Disorder) Counselor
- Fort Pierce, FL
- NPI 1639685282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1861689135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 N LAWNWOOD CIR STE B",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504884",
"telephone_number": "772-468-6800",
"fax_number": "772-464-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 N LAWNWOOD CIR STE B",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504884",
"telephone_number": "772-468-6800",
"fax_number": "772-464-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CFSATC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "KNEESSY",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "REGIONAL DIRECTOR",
"authorized_official_telephone_number": "321-951-9750",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, MAC, MCAP, LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "1956AD125700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Florida Treatment Centers Fort Pierce",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Central Florida Treatment Centers Fort Pierce",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.