Individual provider Active NPI

Brittany Bartusek

  • Mental Health Counselor
  • Satellite Beach, FL
National Provider Identifier
1942769849
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW16212 Issued in FL
Practice address
677 Atlantic Dr
Satellite Beach, FL 32937-2501
Phone
(321) 505-3057
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SW16212 FL
Mental Health Counselor 101YM0800X SW16212 FL Primary

Addresses

Primary practice location

677 Atlantic Dr
Satellite Beach, FL 32937-2501

Mailing address

677 Atlantic Dr
Satellite Beach, FL 32937-2501

Other practice location 1

640 Brevard Ave
Cocoa, FL 32922-7849
Phone (321) 433-1111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190722001594 FL Practitioner - Clinical Social Worker 1951637453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Moon Senior CounselingGroup PAC ID 6103099759, 26 clinicians

Practice addresses (Care Compare)

900 NE 18TH Ave
Suite 1207
Fort Lauderdale, FL 33304-3052
Phone (954) 489-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16212FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Creation Counseling LLC Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1942769849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ATLANTIC DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ATLANTIC DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372501",
            "telephone_number": "321-505-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Brevard Ave",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329227849",
            "country_code": "US",
            "telephone_number": "321-433-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTUSEK",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16212",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW16212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

Verify at the official NPI Registry.