Individual provider Active NPI

Drew David Breznitsky, LMHC

  • Mental Health Counselor
  • Indian Harbour Beach, FL
National Provider Identifier
1962206805
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23717 Issued in FL
Practice address
1640 Highway A1A Ste C
Indian Harbour Beach, FL 32937-5451
Phone
(321) 978-4041
NPI assigned
Apr 1, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23717 FL Primary

Addresses

Primary practice location

1640 Highway A1A Ste C
Indian Harbour Beach, FL 32937-5451

Mailing address

403 Hawthorne CT
Indian Harbour Beach, FL 32937-4033
Phone (321) 978-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH23717FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beachside Recovery Interventions & Consulting LLC Multi-Specialty CurrentSince Apr 6, 2025 Accepting new patients

Locations

1640 Highway A1A
Ste C
Satellite Beach, FL 32937
Phone (321) 978-4041

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1962206805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HAWTHORNE CT",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374033",
            "telephone_number": "321-978-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HIGHWAY A1A STE C",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329375451",
            "telephone_number": "321-978-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZNITSKY",
        "first_name": "DREW",
        "middle_name": "DAVID",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.