CECILIA MARY BEHRENDT (NPI# 1134694433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134694433 |
| Entity Type | Individual |
| Full Name | CECILIA MARY BEHRENDT |
| Credential | MACP |
| Practice Address |
640 Brevard Ave Cocoa FL 32922-7849 |
| Mailing Address |
15 N Rosiland Ct Merritt Island FL 32952-2631 |
| Practice Telephone | 3214331111 |
| Mailing Telephone | 3214321395 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
640 BREVARD AVE |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437282456 | Kimberly Tomlinson | Counselor | 640 Brevard Ave, Suite 102, Cocoa, FL 32922-7849 | 2007-03-13 |
| 1346897030 | Amanda Lucas | Counselor | 640 Brevard Ave, Cocoa, FL 32922 | 2019-08-19 |
| 1962861286 | Ember Leipert | Counselor | 640 Brevard Ave, Cocoa, FL 32792-2541 | 2016-02-15 |
| 1487088449 | Alyssa Buchanan | Social Worker | 640 Brevard Ave, Cocoa, FL 32922-7849 | 2013-08-27 |
| 1447683545 | Lauren Helvig | Social Worker | 640 Brevard Ave, Cocoa, FL 32922-7849 | 2013-08-13 |
| 1336482231 | Janine M Frahm | Counselor | 640 Brevard Ave, Suite 104, Cocoa, FL 32922-7849 | 2013-03-29 |
| 1396015228 | Paul Drew Warren | Counselor | 640 Brevard Ave, Cocoa, FL 32922-7849 | 2012-01-10 |
| 1629196779 | Lakenya Holmes Mccallister | Counselor | 640 Brevard Ave, Suite 104, Cocoa, FL 32792-2541 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036760 | Tammie Bussey | Counselor | 3250 Craggy Bluff Pl, Cocoa, FL 32926-7422 | 2019-01-10 |
| 1215397088 | Rhiannon Haga | Counselor | 3900 Fay Blvd, Cocoa, FL 32927-8467 | 2016-03-07 |
| 1073924700 | Jacqueline Flynn | Counselor | 846 North Cocoa Blvd, Suite A, Cocoa, FL 32922-3623 | 2014-05-15 |
| 1568712396 | Jeannine Doyle | Counselor | 225 N Burnett Rd, Cocoa, FL 32926-4242 | 2012-09-19 |
| 1316297336 | Deana Duckenfield | Counselor | 5430 Florida Palm Ave, Cocoa, FL 32927-2018 | 2012-09-17 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1720375892 | Rochelle Iris Frankel | Counselor | 600 Florida Avenue Suite 204 Cocoa, Florida 32922 - Th, Cocoa, FL 32922-7953 | 2011-07-08 |
| 1407141369 | Kimberly Charlotte Hintz | Counselor | 6230 Edison St, Cocoa, FL 32927-8833 | 2011-06-17 |
| 1013244409 | Elena Dobbs | Counselor | 5302 Yaupon Holly Dr, Cocoa, FL 32927-3427 | 2009-11-06 |
| 1750546677 | Catrina Clore Pauley | Counselor | 317 Riveredge Blvd., Suite 104, Cocoa, FL 32922-7985 | 2008-07-21 |
| Find all providers in COCOA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.