Rebecca Ann Brasch, LMHC LIC#14135

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14135 Issued in FL

Practice address

3768 Howell Rd
MC David, FL 32568-2010

Phone

(850) 698-2890

Fax

(850) 361-2089

NPI assigned

Jan 27, 2014

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, WA, MT, ID, OR5 enrollments

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 5

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  ID, MT, OR, WA

  Medicare reassignment NPD
• Kaleidoscope Therapy Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1427803105
  NPD Authorized official

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1952724973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 HOWELL RD",
            "city": "MC DAVID",
            "state": "FL",
            "postal_code": "325682010",
            "telephone_number": "850-698-2890",
            "fax_number": "850-361-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 HOWELL RD",
            "city": "MC DAVID",
            "state": "FL",
            "postal_code": "325682010",
            "telephone_number": "850-698-2890",
            "fax_number": "850-361-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6875 Nicholson Dr",
            "address_purpose": "LOCATION",
            "city": "Molino",
            "state": "FL",
            "postal_code": "325777231",
            "country_code": "US",
            "telephone_number": "850-698-2890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASCH",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC LIC#14135",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Trotter Hayes, BSN, RN
• Lori Ann Robbins, PTA
• Aaliyah Tucker
• Cynthia L. Worrell-White, M.D.

• Mental Health Counselor in McDavid, FL
• Providers in McDavid, 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 Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.