Organization Active NPI

Emerald Breeze Counseling LLC

  • Mental Health Counselor
  • Gulf Breeze, FL
National Provider Identifier
1952150005
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMERALD BREEZE COUNSELING LLC
Practice address
1333 College Pkwy Unit 677
Gulf Breeze, FL 32563-2711
Phone
(850) 361-8360
NPI assigned
May 13, 2024
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Julia TeetorNPI 1316553423
Title
Owner & LMHC/LPC
Phone
(850) 361-8360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1333 College Pkwy Unit 677
Gulf Breeze, FL 32563-2711

Mailing address

1333 College Pkwy Unit 677
Gulf Breeze, FL 32563-2711

National Provider Directory

National Provider Directory

Locations

13 Palafox Pl
Pensacola, FL 32502

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1952150005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE PKWY UNIT 677",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE PKWY UNIT 677",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632711",
            "telephone_number": "850-361-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD BREEZE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "TEETOR",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER & LMHC/LPC",
        "authorized_official_telephone_number": "850-361-8360"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.